Individual
MRS. ANNA MARIA SANTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144
(262) 658-4623
Mailing address
5931 82ND PLACE, KENOSHA, WI 53142
(262) 694-6560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
417154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42720600
—
WI
Enumeration date
05/20/2008
Last updated
05/20/2008
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