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Individual

OLIVIA KUPHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 738-3000
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6481154
WI

Other

Enumeration date
11/06/2024
Last updated
12/26/2024
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