Individual
MADONNA CELESTE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
372 W CHESTNUT ST, BURLINGTON, WI 53105-1147
(773) 960-5529
Mailing address
372 W CHESTNUT ST, BURLINGTON, WI 53105-1147
(773) 960-5529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3807-154
WI
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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