Individual
MARIE J DE STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2868 OSMUNDSEN RD, FITCHBURG, WI 53711-5161
(978) 973-4147
Mailing address
2868 OSMUNDSEN RD, FITCHBURG, WI 53711-5161
(978) 973-4147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4851
WI
Other
Enumeration date
07/16/2019
Last updated
07/28/2022
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