Individual
CANDICE ANN HACKBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 554-6440
Mailing address
2014 N 56TH ST, MILWAUKEE, WI 53208-1608
(414) 313-6314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4632-154
WI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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