Individual
MRS. ANN MARIE STALLONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(715) 743-3101
(715) 743-6242
Mailing address
216 SUNSET PLACE, NEILLSVILLE, WI 54437-1706
(715) 743-3101
(715) 743-6242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42564100
—
WI
Enumeration date
04/03/2008
Last updated
04/03/2008
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