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Individual

ANGELA M GABRIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
146 BERKLEY BLVD, BARABOO, WI 53913-1001
(608) 355-3925
Mailing address
146 BERKLEY BLVD, BARABOO, WI 53913-1001
(608) 355-3925

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12032927

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12032927
ASHA
01
614500
DPI LICENSE
WI
Enumeration date
04/28/2026
Last updated
04/28/2026
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