Individual
MRS. ELIZABETH CHRISTINE WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
(608) 509-9209
Mailing address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
(608) 509-9209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4130-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-5222679
KARI MYSKER
WI
Enumeration date
06/06/2018
Last updated
06/06/2018
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