Individual
MRS. LAURIE ANN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 391-3112
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 391-3112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2895154
WI
Other
Enumeration date
10/04/2011
Last updated
03/11/2016
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