Individual
MRS. KATIE MARIE HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5128
Mailing address
1042 TERRACE DR, ONALASKA, WI 54650-2130
(406) 672-2552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4628154
WI
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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