Individual
MS. MARIA THERESE LASCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 479-9449
Mailing address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 479-9449
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1741-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1741-154
STATE LICENSE
WI
Enumeration date
09/29/2011
Last updated
09/29/2011
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