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Individual

MRS. GINA DRAGOTTA LAMBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC/SLP

Contact information

Practice address
3237 S 16TH ST, ACUTE REHAB, MILWAUKEE, WI 53215-4526
(414) 647-7422
Mailing address
3237 S 16TH ST, ACUTE REHAB, MILWAUKEE, WI 53215-4526
(414) 647-7422

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1401-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1401-154
STATE OF WISCONSIN DEPT OF REG AND LICENSING
WI
Enumeration date
05/21/2008
Last updated
05/21/2008
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