Individual
HEIDI WACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
(414) 453-9290
Mailing address
9047 W GREENFIELD AVE, WEST ALLIS, WI 53214-2808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3976
WI
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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