Individual
ELISA MARIE AHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
(920) 731-7310
Mailing address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1822-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427-67400
—
WI
Enumeration date
06/09/2008
Last updated
06/09/2008
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