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Individual
MRS. SARAH MARIE SODERBERG
Active
Individual
MRS. SARAH MARIE SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3326-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525019
—
WI
Enumeration date
06/07/2011
Last updated
06/07/2011
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