Individual
MRS. MELISSA LEA SOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2153 SCHOOL LANE, SUAMIRO ELEMENTARY, GREEN BAY, WI 54313
(920) 662-9806
(920) 662-9808
Mailing address
2153 SCHOOL LANE, SUAMIRO ELEMENTARY, GREEN BAY, WI 54313
(920) 662-9806
(920) 662-9808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2125-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42786800
—
WI
Enumeration date
09/16/2008
Last updated
09/16/2008
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