Individual
LAUREN WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
630 S 36TH AVE, WAUSAU, WI 54401-3930
(855) 607-8242
Mailing address
630 S 36TH AVE, WAUSAU, WI 54401-3930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6403-154
WI
235Z00000X
Speech-Language Pathologist
—
WI
Other
Enumeration date
07/12/2022
Last updated
02/27/2025
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