Individual
LAURA BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6105
(715) 717-4338
Mailing address
1109 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1904-54
WI
Other
Enumeration date
03/22/2018
Last updated
12/31/2021
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