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Individual

STEPHANIE EVA WISNIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
100 MARIO CAPECCHI DR, PRIMARY CHILDREN'S REHAB, SALT LAKE CITY, UT 84113-1103
(801) 602-4980
Mailing address
100 MARIO CAPECCHI DR, PRIMARY CHILDREN'S REHAB, SALT LAKE CITY, UT 84113-1103
(801) 602-4980

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9072041-4104
UT

Other

Enumeration date
07/15/2014
Last updated
07/17/2015
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