Lily Dettle

NPI #1881189124 in Deforest, Wisconsin

Provider Information

NPI Number
1881189124
Entity Type
Individual
Name
Lily Dettle
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 28, 2018
Last Updated
Jun 28, 2018

Practice Location

Address
311 WINN CT
ZIP Code
53532-3011
Phone
(715) 520-3634

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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