Individual
ANN ROUBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
N598 KNEPPRATH RD, CEDAR GROVE, WI 53013-1117
(920) 627-8486
Mailing address
N598 KNEPPRATH RD, CEDAR GROVE, WI 53013-1117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3195-154
WI
Other
Enumeration date
11/02/2009
Last updated
08/04/2010
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