Individual
MRS. LISA KAY GAEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
424 RIVER DR, BLACK RIVER FALLS, WI 54615-9001
(715) 896-8373
Mailing address
424 RIVER DR, BLACK RIVER FALLS, WI 54615-9001
(715) 896-8373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1590035482
WI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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