Individual
STEPHANIE LYNN WILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W SILVER SPRING DR, GLENDALE, WI 53209-4415
(414) 228-8120
Mailing address
N53W26804 ARROWHEAD DR, PEWAUKEE, WI 53072-1157
(262) 408-1008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5388-154
WI
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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