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Individual

MILAGROS CACERES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12600 PT. WASHINGTON RD, NEWCASTLE PLACE, MEQUON, WI 53092-3469
(262) 387-8800
Mailing address
PO BOX 170441, MILWAUKEE, WI 53217-8036

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
681-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42582700
WI
Enumeration date
12/26/2006
Last updated
07/09/2007
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