ALYSSA BACKHAUS

KENOSHA, WI
NPI1881104792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  4536-154)
Enumeration Date2017-10-05
Last Update Date2017-10-05
Business Address
ALYSSA BACKHAUS
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
Mailing Address
ALYSSA BACKHAUS
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
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