Mialee Ambrose
NPI #1992418149 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1992418149
- Entity Type
- Individual
- Name
- Mialee Ambrose
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 3, 2023
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 700 GENEVA PKWY N
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-4594
- Phone
- (262) 249-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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