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Individual

LISA S KIRBY-MANGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC

Contact information

Practice address
545 W DAYTON ST, MADISON, WI 53703-1995
(608) 663-8474
Mailing address
1510 MIDDLETON ST, MIDDLETON, WI 53562-3722
(608) 663-8474

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4340-154
WI

Other

Enumeration date
02/10/2026
Last updated
05/04/2026
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