Individual
MRS. MARY J. MICHALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. C.C.C.-SLP
Contact information
Practice address
702 W DOLF ST, COLBY, WI 54421-9604
(715) 223-2352
(715) 223-3972
Mailing address
1124 BRIARWOOD ST, MARSHFIELD, WI 54449-1716
(715) 384-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42605200
—
WI
Enumeration date
03/26/2007
Last updated
11/01/2012
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