Individual
MRS. BETHANNE NARDO MAZURCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151
(262) 782-9015
(262) 782-9013
Mailing address
2337 SWAN BLVD, WAUWATOSA, WI 53226
(414) 453-2919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
842154
WI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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