Individual
CHANDLER NIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
139 S 72ND ST # A, MILWAUKEE, WI 53214-1522
(920) 904-2045
Mailing address
139 S 72ND ST # A, MILWAUKEE, WI 53214-1522
(920) 904-2045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4786-154
WI
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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