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Individual

LISA DICKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3401 CRANBERRY BLVD, WESTON, WI 54476-5217
(715) 393-2100
Mailing address
2805 PARTRIDGE WAY, WAUSAU, WI 54401-1201

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1929-154
WI

Other

Enumeration date
10/06/2009
Last updated
10/06/2009
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