Individual
WENDY SUE FABISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7107
Mailing address
1110 SAWTELL CT, OSHKOSH, WI 54902-3209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
548-154
WI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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