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Individual

ANITA MARY BETTINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
211 S CURTIS ST, LAKE GENEVA, WI 53147-2052
(262) 248-3145
Mailing address
211 S CURTIS ST, LAKE GENEVA, WI 53147-2052
(262) 248-3145

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
595-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42729500
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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