Individual
MARCIA HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 298-6777
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 298-6777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1366-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225075203
—
WI
Enumeration date
11/21/2012
Last updated
11/21/2012
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