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Individual

KASANDRA MARIE LASSONDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2650 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-1100
Mailing address
11045 MYERON RD N, STILLWATER, MN 55082-8565

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4454
WI
235Z00000X
Speech-Language Pathologist
Primary
4454-154
WI

Other

Enumeration date
05/30/2017
Last updated
11/01/2018
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