Individual
MS. MARY E BELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1000 LAKE VIEW DR, WAUSAU, WI 54403-6706
(715) 848-4457
Mailing address
1744 CLERMONT ST, ANTIGO, WI 54409-2419
(715) 623-9459
(715) 623-9425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1453-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42756300
—
WI
Enumeration date
04/11/2007
Last updated
07/09/2007
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