Individual
COURTNEY MIKLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGY
Contact information
Practice address
1635 N WATER ST, APARTMENT #513, MILWAUKEE, WI 53202-2061
(630) 408-5006
Mailing address
1635 N WATER ST, APARTMENT #513, MILWAUKEE, WI 53202-2061
(630) 408-5006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4320-154
WI
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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