Individual
LAUREN T MANDRELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
210 N 86TH ST, MILWAUKEE, WI 53226-4608
(847) 322-1126
Mailing address
210 N 86TH ST, MILWAUKEE, WI 53226-4608
(867) 322-1126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010735
IL
Other
Enumeration date
07/08/2011
Last updated
07/27/2020
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