Individual
EMILY JOSEPHINE BULOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 685-2755
Mailing address
N1686 KAS DR, GREENVILLE, WI 54942-4200
(920) 321-8198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5345-154
WI
Other
Enumeration date
09/07/2021
Last updated
11/07/2024
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