Individual
MRS. MICHELE M PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8200
Mailing address
724 29TH ST, CHETEK, WI 54728-8015
(715) 418-1116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2265-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42794100
—
WI
Enumeration date
04/17/2007
Last updated
02/04/2013
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