Individual
ANN M SISLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 REVERE TRL, DE PERE, WI 54115-1726
(920) 660-1031
Mailing address
1722 REVERE TRL, DE PERE, WI 54115-1726
(920) 660-1031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1001467731
WI
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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