Individual
DANELLE ANN BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8848
(715) 421-8693
Mailing address
2080 WINDSOR CT APT 8, PLOVER, WI 54467-4153
(715) 498-7870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2539154
WI
Other
Enumeration date
01/09/2012
Last updated
10/29/2019
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