Individual
ANNA THORDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4210 N MAIN ST APT 206, RACINE, WI 53402-2883
(513) 348-6870
Mailing address
4210 N MAIN ST APT 206, RACINE, WI 53402-2883
(513) 348-6870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
807539
WI
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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