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Individual

ADRIA MCNAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA/SLP/CCC/L

Contact information

Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
(262) 658-2196
Mailing address
1625 ELIZABETH AVE, NORTH CHICAGO, IL 60064-2030

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3938-154
WI

Other

Enumeration date
04/16/2014
Last updated
04/16/2014
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