Individual
HEATHER KOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 S 84TH ST, MILWAUKEE, WI 53227-3703
(414) 607-4223
Mailing address
3023 S 84TH ST, MILWAUKEE, WI 53227-3703
(414) 607-4223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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