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Individual

ASHLEY PRICKETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4300
Mailing address
1640 E SUMNER ST, HARTFORD, WI 53027-2684

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669889549
WI
Enumeration date
07/12/2014
Last updated
01/10/2022
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