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Individual

MS. RUTH M THIELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
1126 S 70TH STREET SUITE S305B, WHEATON FRANCISCAN REHAB SERVICES, WEST ALLIS, WI 53214
(414) 456-2336
(414) 456-2339
Mailing address
1126 S 70TH STREET SUITE S305B, WHEATON FRANCISCAN REHAB SERVICES, WEST ALLIS, WI 53214
(414) 456-2336
(414) 456-2339

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1647154
WI

Other

Enumeration date
05/21/2008
Last updated
10/19/2011
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