Individual
REBECCA MUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-2411
Mailing address
21425 SPRING ST, UNION GROVE, WI 53182-9707
(262) 878-2411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.008106
IL
Other
Enumeration date
10/14/2024
Last updated
03/26/2025
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