TRACEY JANE WISE

TOMAHAWK, WI
NPI1912170564
Former NameTRACEY JANE VAUGHN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  503-154)
Enumeration Date2008-04-03
Last Update Date2008-04-03
Business Address
Ms. TRACEY JANE WISE MS CCC
702 E KING RD
TOMAHAWK, WI 54487
Phone number: 715-282-7566
Mailing Address
Ms. TRACEY JANE WISE MS CCC
6608 FALLEN WOOD LN
RHINELANDER, WI 54501-8191
Phone number: 715-282-7566
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