Individual
MRS. ANNA MARY PFANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2121
Mailing address
5524 GLENWOOD AVE, STEVENS POINT, WI 54482-8577
(262) 685-8203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2699-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42584400
—
WI
Enumeration date
05/08/2007
Last updated
08/07/2013
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