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1114984598
BRENDA J. VICEN
MADISON, WI
NPI
1114984598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 1421-154)
Enumeration Date
2006-04-28
Last Update Date
2007-07-08
Business Address
-- BRENDA J. VICEN MS/CCC-SLP
14 ELLIS POTTER CT SUITE 200
MADISON, WI 53711-2478
Phone number: 608-204-6242
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Mailing Address
-- BRENDA J. VICEN MS/CCC-SLP
204 VISTA DR
COTTAGE GROVE, WI 53527-9370
Phone number: 608-839-5575
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