Individual
ASHLEY LAURA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1400 W SEMINARY ST, RICHLAND CENTER, WI 53581-2036
(608) 647-8931
Mailing address
916 N CENTRAL AVE, RICHLAND CENTER, WI 53581-1403
(815) 403-3773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3857154
WI
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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