Individual
MARIE QUAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N 92ND ST, WAUWATOSA, WI 53226-3533
(414) 750-1763
Mailing address
6180 WALNUT LN UNIT 83, CUDAHY, WI 53110-3466
(414) 628-6579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
304-154
WI
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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