Individual
MARIE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
613 SHEARWATER ST, MADISON, WI 53714-3351
(608) 313-5632
(608) 716-3130
Mailing address
613 SHEARWATER ST, MADISON, WI 53714-3351
(608) 313-5632
(608) 716-3130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4460
WI
Other
Enumeration date
07/11/2018
Last updated
05/20/2020
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