Most Relevant Information
Provider Data
| NPI Number: | 1003597907 |
| Provider Name: | CASEY NICHOLE DEPAUW SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 6263154 |
Most Important Dates
| Enumeration Date: | 07/25/2023 |
| Last Updated: | 07/26/2023 |
Provider Practice Location
1123 BRIARWOOD CT
HUDSON
WI
540162069
Practice Location Phone/Fax
| Phone: | 5172125814 |
| Fax: |
Provider Mailing Location
1123 BRIARWOOD CT
HUDSON
WI
540162069
Provider Mailing Phone/Fax
| Phone: | 5172125814 |
| Fax: |