| NPI | 1689272841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE BOE Owner, Speech Language Pathologist 262-339-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |