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Individual

MR. MICHELLE STREGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 858-3971
Mailing address
9205 BOMAR AVE, NEENAH, WI 54956-9389

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
863-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42750200
WI
Enumeration date
05/21/2008
Last updated
05/21/2008
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