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Individual

MS. ALYSSA KATE KOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
RM 038 CPS 1901 FOURTH AVE, UNVIERSITY OF WISCONSIN-STEVENS POINT, STEVENS POINT, WI 54481
(715) 346-2328
(715) 346-2157
Mailing address
717 SOO MARIE AVE, STEVENS POINT, WI 54481-2146
(262) 613-8651

Taxonomy

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

Other

Enumeration date
06/22/2017
Last updated
06/27/2018
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