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Individual

MS. PEGGY SUE BLAKE-VOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
802 E COUNTY HIGHWAY B, SHELL LAKE, WI 54871-4425
(715) 468-7292
Mailing address
38 22ND AVE, COMSTOCK, WI 54826-9716
(715) 205-1048

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2267-154
WI

Other

Enumeration date
03/31/2010
Last updated
03/31/2010
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