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Individual

MARY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-6750
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4209154
WI

Other

Enumeration date
07/27/2016
Last updated
07/27/2016
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