Individual
CHELSEA MARIE ELLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 763-2411
Mailing address
252 MCHENRY STREET, BURLINGTON, WI 53105
(262) 763-2411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3875-154
WI
Other
Enumeration date
09/04/2013
Last updated
12/08/2021
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