Individual
MS. ANGELA JANE ZIEHMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
215 W MAPLE ST, SUITE 104, MILWAUKEE, WI 53204-4047
(177) 355-1842
(815) 572-5827
Mailing address
215 W MAPLE ST, SUITE 104, MILWAUKEE, WI 53204-4047
(177) 355-1842
(815) 572-5827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2067-154
WI
235Z00000X
Speech-Language Pathologist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067-154
STATE OF WI SLP LICENSE
WI
Enumeration date
04/04/2007
Last updated
07/08/2007
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