Individual
CHRISTINE TRACY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10602 N PORT WASHINGTON RD, 101, MEQUON, WI 53092-5079
(262) 241-8030
Mailing address
N73W7135 WALNUT ST, CEDARBURG, WI 53012-1131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
625-154
WI
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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