Individual
TARA ANN DUQUAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 N PROSPECT AVE APT 3, MILWAUKEE, WI 53211-3727
(920) 471-7065
Mailing address
2609 N PROSPECT AVE APT 3, MILWAUKEE, WI 53211-3727
(920) 471-7065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3614-154
WI
Other
Enumeration date
09/27/2011
Last updated
08/05/2013
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