Individual
MS. THERESA GAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
2730 W RAMSEY AVE, GREENDALE, WI 53221
(414) 282-2600
Mailing address
3712 S 53RD ST, GREENFIELD, WI 53220-2035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
962154
WI
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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