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1407014731
FREDERICK HENRY
MILWAUKEE, WI
NPI
1407014731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 851-154)
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
-- FREDERICK HENRY MS CCC-SLP
3237 S 16TH ST
MILWAUKEE, WI 53215-4526
Phone number: 414-647-7422
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Mailing Address
-- FREDERICK HENRY MS CCC-SLP
3237 S 16TH ST
MILWAUKEE, WI 53215-4526
Phone number: 414-647-7422
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