Individual
MELISSA BURROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 16TH ST, RACINE, WI 53406-4467
(262) 898-2712
Mailing address
W8219 STOCKBRIDGE CT, LAKE MILLS, WI 53551-9742
(920) 988-4788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3902154
WI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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