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Individual

MRS. DEANNA LEA YODER-BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP/L

Contact information

Practice address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
(907) 357-2529
Mailing address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669

Taxonomy

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

Other

Enumeration date
04/21/2009
Last updated
02/19/2019
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