Individual
TARAH A FEDENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 SHERIDAN RD, KENOSHA, WI 53143-6327
(262) 658-4141
Mailing address
8400 SHERIDAN RD, KENOSHA, WI 53143-6327
(262) 658-4141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4573-154
WI
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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