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Individual

JUDITH BOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA/CCC-SLP

Contact information

Practice address
634 CENTER ST, BLACK EARTH, WI 53515-9544
(608) 767-2572
Mailing address
501 TOEPFER AVE, MADISON, WI 53711-1632
(330) 603-0550

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4386-154
WI

Other

Enumeration date
11/14/2016
Last updated
11/14/2016
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