Individual
SAMANTHA SHEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(262) 290-6383
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5255-154
WI
Other
Enumeration date
06/14/2021
Last updated
08/05/2021
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