Individual
MRS. TRACEY EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(888) 389-9030
(888) 389-9031
Mailing address
17150 BURNET ST, BROOKFIELD, WI 53005-6839
(262) 754-6782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1485-154
WI
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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