Individual
MARCELLINE CHRISTINE CRUZ PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 849-6516
Mailing address
801 S KLEIN DR, WAUNAKEE, WI 53597-1575
(608) 849-5016
(608) 849-6516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1786-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42783200
—
WI
Enumeration date
05/13/2008
Last updated
05/13/2008
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