Individual
SHAWNA ELLINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
5510 CADDIS BND APT 104, FITCHBURG, WI 53711-7147
(608) 219-8801
Mailing address
5510 CADDIS BND APT 104, FITCHBURG, WI 53711-7147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
154-3755
WI
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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