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Individual

MRS. CARMEN JEAN MAGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
201 S PARK AVE, FRIENDSHIP, WI 53934-9377
(608) 339-3361
(608) 339-9468
Mailing address
N7042 COUNTY TRUNK E, WESTFIELD, WI 53964
(608) 296-3526

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
605-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42719200
WI
Enumeration date
03/30/2007
Last updated
07/09/2007
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