Individual
ALLISON RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
Mailing address
926 N CASS ST APT 8, MILWAUKEE, WI 53202-3465
(248) 909-4421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4485-154
WI
Other
Enumeration date
06/28/2017
Last updated
10/15/2018
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