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Individual

MRS. MARY M VODRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
1226 BERLIN ST, WAUPACA, WI 54981-1991
(715) 258-5521
Mailing address
1226 BERLIN ST, WAUPACA, WI 54981-1991
(715) 258-5521

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2443-154
WI

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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