Individual
MRS. LUCRETIA COANN WALDBUESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 726-3455
(715) 726-3613
Mailing address
20991 30TH ST, BLOOMER, WI 54724-3985
(715) 568-3488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1480-154
WI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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