ANGELEEN DODGE

FOND DU LAC, WI
NPI1104041748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  1962-154)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- ANGELEEN DODGE SLP
500 N PARK AVE
FOND DU LAC, WI 54935-1943
Phone number: 920-929-8858
Mailing Address
-- ANGELEEN DODGE SLP
500 N PARK AVE
FOND DU LAC, WI 54935-1943
Phone number: 920-929-8858