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Individual

LAURA MUNDSCHAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. SLP

Contact information

Practice address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
Mailing address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3820-154
WI
235Z00000X
Speech-Language Pathologist
SA20983
FL
235Z00000X
Speech-Language Pathologist
Primary
SAH-2025-0336
NM
235Z00000X
Speech-Language Pathologist
SLP10136
AZ

Other

Enumeration date
10/03/2013
Last updated
11/20/2025
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