Individual
HANNA RAE WILDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
504 E 5TH ST, NEILLSVILLE, WI 54456-2024
(715) 743-3323
Mailing address
1031 IMPERIAL CIR APT 3, EAU CLAIRE, WI 54701-6967
(763) 242-4021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6739154
WI
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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