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1255526455
TASHA JOY MALVITZ
GREEN BAY, WI
NPI
1255526455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 2613-154)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
-- TASHA JOY MALVITZ MA/CCC-SLP
1673 DOUSMAN STREET
GREEN BAY, WI 54307-2770
Phone number: 920-593-4382
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Mailing Address
-- TASHA JOY MALVITZ MA/CCC-SLP
1673 DOUSMAN STREET
GREEN BAY, WI 54307-2770
Phone number: 920-593-4382
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