Individual
TASHA MARIE HAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3117 SHORE DR STE 101, MARINETTE, WI 54143-4294
(715) 732-5111
(715) 732-0628
Mailing address
3117 SHORE DR STE 101, MARINETTE, WI 54143-4294
(715) 732-5111
(715) 732-0628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3129-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3129-154
WISCONSIN STATE LICENSE
WI
Enumeration date
12/03/2008
Last updated
10/31/2012
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