Individual
MS. SUSAN MARIE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
9000 W WISCONSIN AVE, SUITE B340, MILWAUKEE, WI 53226-4874
(414) 266-2922
(414) 266-6189
Mailing address
9000 WEST WISCONSIN AVE, PO BOX 1997 MS B340, MILWAUKEE, WI 53201-1997
(414) 266-2922
(414) 266-6189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154
DRL LICENSE
WI
Enumeration date
07/08/2008
Last updated
07/08/2008
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