Individual
MS. ANNETTE W TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4085
(414) 231-4014
Mailing address
3220 W VLIET ST, MILWAUKEE, WI 53208-2453
(414) 231-4085
(414) 231-4014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3384-154
WI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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