Individual
SALLY J LACROIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
W6127 LORNA LANE, APPLETON, WI 54915-7465
(920) 840-3033
(920) 882-4009
Mailing address
W6127 LORNA LANE, APPLETON, WI 54915-7465
(920) 840-3033
(920) 882-4009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2291
WI
235Z00000X
Speech-Language Pathologist
Primary
2291-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831386713
NPI
WI
Enumeration date
09/25/2007
Last updated
12/03/2025
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