Organization
ITS OF WI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ERNEST (OWNER)
(651) 303-5650
Entity
Organization
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(651) 303-5650
(715) 381-8131
Mailing address
2705 ENLOE ST, HUDSON, WI 54016-8173
(651) 303-5650
(715) 381-8131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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