Individual
ANGELA JANE POULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
W231N7946 MARTIN CT, SUSSEX, WI 53089-5700
(262) 408-9335
Mailing address
W231N7946 MARTIN CT, SUSSEX, WI 53089-5700
(262) 408-9335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2884
WI
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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