Individual
TERESA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
3415 SHERIDAN ROAD, WOODSTOCK, KENOSHA, WI 53140-1924
(262) 657-6175
Mailing address
3415 SHERIDAN ROAD, WOODSTOCK, KENOSHA, WI 53140-1924
(262) 657-6175
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3164-154
WI
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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