Individual
FREDERICK HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 647-7422
(414) 647-5669
Mailing address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 647-7422
(414) 647-5669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
851-154
WI
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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