Individual
CHLOE CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP-CFY
Contact information
Practice address
620 SCHOENHAAR DR, WEST BEND, WI 53090-2649
(262) 306-8450
Mailing address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
(262) 923-7178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5257154
WI
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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