Individual
GINA LORENE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CF SLP
Contact information
Practice address
4317 MORNING VIEW CT APT J209, SHEBOYGAN, WI 53081-1211
(309) 287-4893
Mailing address
4317 MORNING VIEW CT APT J209, SHEBOYGAN, WI 53081-1211
(309) 287-4893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2967-154
WI
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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