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Individual

REBECCA RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
8915 W CONNELL AVE, MILWAUKEE, WI 53226-3067
(414) 266-4578
Mailing address
2226 N 71ST ST, WAUWATOSA, WI 53213-1804

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4853-154
WI

Other

Enumeration date
04/25/2024
Last updated
12/10/2024
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