| NPI | 1558909556 |
|---|---|
| Doing Business As | MKE SLP |
| Doing Business As | WISCONSIN AAC SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANDREW RUSSELL BORDEAUX Speech Language Pathologist 414-617-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |