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Individual

MRS. MARIA MYRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, SLP

Contact information

Practice address
520 N 28TH AVE, WAUSAU, WI 54401-4101
(715) 845-4900
Mailing address
5406 JEAN ELLEN ST, WESTON, WI 54476-2908
(906) 282-7913

Taxonomy

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

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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