Individual
RACHEL JEAN BUTALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
Mailing address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2397154
WI
Other
Enumeration date
06/03/2006
Last updated
06/08/2009
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