Individual
MACKENZIE DELEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 BRIDLEWOOD DR, PLOVER, WI 54467-3867
(715) 342-4445
Mailing address
3380 BRIDLEWOOD DR, PLOVER, WI 54467-3867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6040154
WI
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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