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Individual

PAGE C CARRIVEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
264 FALCON RIDGE DR, BURLINGTON, WI 53105-2420
(920) 850-5766
Mailing address
264 FALCON RIDGE DR, BURLINGTON, WI 53105-2420
(920) 850-5766

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3429-154
WI

Other

Enumeration date
09/08/2010
Last updated
01/27/2025
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