Individual
MRS. ELISSA ANN RETKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 479-9330
(414) 259-0575
Mailing address
9035 N BETHANNE DR, BROWN DEER, WI 53223-2222
(414) 479-9330
(414) 259-0575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2257-154
WI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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