Individual
MAYA MORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP/L
Contact information
Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-0850
Mailing address
5219 88TH AVE, KENOSHA, WI 53144-7468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4109-154
WI
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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