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Individual

MRS. SALLY A CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP, NHA

Contact information

Practice address
200880 CANOPY LN, ROSHOLT, WI 54473-6705
(715) 439-3084
Mailing address
200880 CANOPY LN, ROSHOLT, WI 54473-6705
(715) 439-3084

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2253-154
WI

Other

Enumeration date
11/15/2011
Last updated
09/28/2025
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