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1639386139
MARY LOU MCCORMICK
MADISON, WI
NPI
1639386139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WI 2917 - 154)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Ms. MARY LOU MCCORMICK M.S. 2917-154 CCC
4005 TOKAY BLVD
MADISON, WI 53711-1677
Phone number: 608-238-7458
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Mailing Address
Ms. MARY LOU MCCORMICK M.S. 2917-154 CCC
4005 TOKAY BLVD
MADISON, WI 53711-1677
Phone number: 608-238-7458
Copy
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