Individual
RENEE D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CFY - SLP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5370
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2632-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42566100
—
WI
Enumeration date
06/09/2006
Last updated
08/10/2007
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