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Individual

ELIZABETH TERESA VILLAGRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-3131
Mailing address
1034 E JOHNSON ST APT 1, MADISON, WI 53703-1667
(210) 461-7708

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109882
TX
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/27/2014
Last updated
11/12/2019
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