KERRY B FREDERICK

MILWAUKEE, WI
NPI1699752675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  634-154)
Enumeration Date2005-12-29
Last Update Date2007-07-08
Business Address
-- KERRY B FREDERICK SLP
3090 N 53RD ST
MILWAUKEE, WI 53210-1617
Phone number: 414-449-4444
Mailing Address
-- KERRY B FREDERICK SLP
6400 INDUSTRIAL LOOP
GREENDALE, WI 53129-2452
Phone number: 414-423-4100