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Individual

MS. EMILY JEANNE DESILET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
604 S WEBB ST, WITTENBERG, WI 54499-9040
(715) 253-2125
Mailing address
604 S WEBB ST, WITTENBERG, WI 54499-9040
(715) 253-2125

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4513-154
WI

Other

Enumeration date
08/12/2017
Last updated
07/21/2022
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