Individual
BETH L LLANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2100
Mailing address
1608 CREEK RD APT 201, WEST BEND, WI 53090-1995
(608) 718-1353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3436-154
WI
Other
Enumeration date
11/04/2011
Last updated
10/24/2016
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