Individual
ALISA GARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 ORRIN RD, PRESCOTT, WI 54021-1074
(715) 262-1107
Mailing address
909 HOLLEY AVE, ST PAUL PARK, MN 55071-1419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3555-154
WI
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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