Individual
PATRICIA MAE SMOCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9544 178TH ST, CHIPPEWA FALLS, WI 54729-5670
(715) 404-5161
Mailing address
9544 178TH ST, CHIPPEWA FALLS, WI 54729-5670
(715) 404-5161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
101247
TX
235Z00000X
Speech-Language Pathologist
Primary
689-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43310400
—
WI
Enumeration date
04/21/2008
Last updated
04/21/2008
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