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Individual

MS. BETTY SUE LETHLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/CCC-SLP

Contact information

Practice address
1323 CRESTON PARK DR, JANESVILLE, WI 53545-1126
(414) 475-7890
Mailing address
5743 SANDHILL DR, MIDDLETON, WI 53562-5253
(608) 831-8485

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
321-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
321-154
LICENSE NUMBER
WI
Enumeration date
09/02/2006
Last updated
07/08/2007
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