Individual
MRS. MOLLY SUZANNE LEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1821 N 4TH AVE, WAUSAU, WI 54401-1910
(715) 675-9451
Mailing address
2220 OXFORD CT APT 8, PLOVER, WI 54467-4156
(715) 570-5534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3379-154
WI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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