Individual
SAMANTHA ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
151 JUDSON DR, BEAVER DAM, WI 53916-2860
(920) 344-0547
Mailing address
151 JUDSON DR, BEAVER DAM, WI 53916-2860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3949-154
WI
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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