Individual
DELORES ADIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 ELM AVE E, MENOMONIE, WI 54751-1613
(715) 404-5601
Mailing address
915 ELM AVE E, MENOMONIE, WI 54751-1613
(715) 404-5601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3511154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
WI
Enumeration date
07/12/2011
Last updated
07/12/2011
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