Individual
MRS. NORMA MARILYN GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9074 N DEERBROOK TRL, BROWN DEER, WI 53223-2474
(414) 355-3824
(414) 355-5452
Mailing address
9074 N DEERBROOK TRL, BROWN DEER, WI 53223-2474
(414) 355-3824
(414) 355-5452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
621-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42573100
—
WI
01
—
621-154
STATE LICENSE
WI
Enumeration date
11/15/2006
Last updated
07/09/2007
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