Individual
MS. LISA A MARAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3744 ALGOMA RD, NEW FRANKEN, WI 54229-9728
(920) 217-2931
Mailing address
3744 ALGOMA RD, NEW FRANKEN, WI 54229-9728
(920) 217-2931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3519-154
WI
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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