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Individual

MRS. GWEN ELLEN ORHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCSLP

Contact information

Practice address
10500 W LOOMIS RD, SUITE 150, FRANKLIN, WI 53132-8111
(414) 858-9223
(414) 858-1017
Mailing address
10500 W LOOMIS RD, SUITE 150, FRANKLIN, WI 53132-8111
(414) 858-9223
(414) 858-1017

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1491-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01109878
ASHA
WI
01
1491-154
STATE LICENSURE
WI
05
425-886-00
WI
Enumeration date
11/20/2006
Last updated
11/14/2007
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