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Individual

MRS. ANGELA DORFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC/SLP

Contact information

Practice address
N47W27181 GREEN HILL DR, PEWAUKEE, WI 53072-1837
(262) 695-1786
Mailing address
N47W27181 GREEN HILL DR, PEWAUKEE, WI 53072-1837

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2725-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42573400
WI
Enumeration date
04/15/2008
Last updated
04/15/2008
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