Individual
ANTOINETTE B SUEFLOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
402 1ST ST, RANDOM LAKE, WI 53075-1772
(920) 994-9700
Mailing address
PO BOX 323, RANDOM LAKE, WI 53075-0323
(920) 994-9700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1846-154
WI
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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