Individual
MRS. SANDRA A WASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
6263 NORTH GREENBAY AVE, GLENDALE, WI 53209
(414) 351-0543
Mailing address
305 W BERGEN CT, FOX POINT, WI 53217-2304
(414) 351-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
343154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42688500
—
WI
Enumeration date
05/21/2008
Last updated
12/14/2012
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