Individual
MARIE MENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 HALL AVE STE B, MARINETTE, WI 54143-1604
(715) 732-7700
Mailing address
3000 HALL AVE, MARINETTE, WI 54143-1404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42640600
—
WI
Enumeration date
09/17/2006
Last updated
07/08/2007
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