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Individual

GABRIELLE DEMEUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(262) 782-9015
(262) 782-9013
Mailing address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6028-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
07/29/2022
Last updated
07/29/2022
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