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Individual

MISS CHARYSSE M GREGORASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS-SLP

Contact information

Practice address
3315 BEHRENS PKWY, SHEBOYGAN, WI 53081-1255
(920) 803-1617
(920) 803-1622
Mailing address
3315 BEHRENS PKWY, SHEBOYGAN, WI 53081-1255
(920) 803-1617
(920) 803-1622

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1350-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41813000
WI
Enumeration date
11/19/2007
Last updated
11/19/2007
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