Individual
MS. STACEY WODEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 281-0088
(414) 421-2163
Mailing address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 281-0088
(414) 421-2163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2534-154
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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