Individual
LIEZEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5148 TORINO CT APT 3, MIDDLETON, WI 53562-2130
(503) 593-1255
Mailing address
5148 TORINO CT APT 3, MIDDLETON, WI 53562-2130
(503) 593-1255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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