Organization
CREAM CITY ABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURYN EICHSTAEDT (CEO)
(414) 454-9223
Entity
Organization
Contact information
Practice address
7916 GRIDLEY AVE, WAUWATOSA, WI 53213-3170
(630) 303-0942
Mailing address
7916 GRIDLEY AVE, WAUWATOSA, WI 53213-3170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
12/03/2024
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