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Individual provider · Speech-Language Pathologist · Menomonie, WI

NPI
1548558539
Type
Individual (Type 1)
Primary specialty
Speech-Language Pathologist
Specialty group
Speech, Language and Hearing Service Providers
Taxonomy code
235Z00000X
License number
3511154 (WI)
Sex
Female
Sole proprietor
Yes
Enumerated
2011-07-12
Last updated
2011-07-12
Practice location
915 Elm Ave E
Menomonie, WI 54751-1613
(715) 404-5601

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