Individual
ERICA PERIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 817-3720
Mailing address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3818154
WI
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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