Individual
PROF. SUSAN ELIZABETH FOX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 963-8415
Mailing address
1621 LEGEND HILL LN, WAUKESHA, WI 53189-8085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
62-154
WI
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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