Individual
SARAH M WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 586-5710
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5084
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103093
—
WI
Enumeration date
07/23/2020
Last updated
12/08/2021
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