Individual
SOPHIA KIM MARIE PERNSTEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
103 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8112
Mailing address
103 S. GIBSON STREET, MEDFORD, WI 54451
(715) 965-8112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6320154
WI
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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