Individual
HALEY DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
960 S RAPIDS RD # 4146, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
4921 BENLEY CT APT 8, MANITOWOC, WI 54220-1071
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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