Individual
AMELIA DONNA ANNE GALLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
W5036 COUNTY ROAD Z, PEMBINE, WI 54156-9687
(906) 290-4059
Mailing address
W5036 COUNTY ROAD Z, PEMBINE, WI 54156-9687
(906) 290-4059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007688
MI
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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