Individual
CLAIRE BLEDSOE QUISLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
6529 FAIRHAVEN RD, MADISON, WI 53719-5915
(608) 845-9188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1629-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629-154
SPEECH
WI
Enumeration date
08/05/2006
Last updated
07/08/2007
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