Individual
MS. YVONNE ELIZABETH PETERSEN-ZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
(414) 546-7345
Mailing address
4920 MARY DREW DR, RACINE, WI 53402-9514
(262) 721-0269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
701-154
WI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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