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Individual

MS. ANN ELIZABETH MALINSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS-CCC-SLP

Contact information

Practice address
121 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-9220
Mailing address
N8471 COVENTRY LN, BEAVER DAM, WI 53916-9739
(920) 887-6881

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1294-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42561900
WI
Enumeration date
05/04/2007
Last updated
01/16/2012
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