Most Relevant Information
Provider Data
| NPI Number: | 1003194895 |
| Provider Name: | AUBURN LEA ANDES M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 3606-154 |
Most Important Dates
| Enumeration Date: | 07/27/2011 |
| Last Updated: | 01/04/2013 |
Provider Practice Location
6300 67TH ST
KENOSHA
WI
531421437
Practice Location Phone/Fax
| Phone: | 2624844724 |
| Fax: |
Provider Mailing Location
6300 67TH ST
KENOSHA
WI
531421437
Provider Mailing Phone/Fax
| Phone: | 2628652829 |
| Fax: |