Individual
MADELINE BOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
503 LULU LN, ROBERTS, WI 54023-4101
(262) 339-1529
Mailing address
503 LULU LN, ROBERTS, WI 54023-4101
(262) 339-1529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10301
MN
235Z00000X
Speech-Language Pathologist
Primary
4813-154
WI
Other
Enumeration date
06/20/2018
Last updated
11/11/2019
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