Individual
ELLEN LOUISE FRIEDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
604 W WISCONSIN AVE, BELMONT, WI 53510-9738
(608) 723-9113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4863-154
WI
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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