Individual
LANEY MARIE SOODSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1675 HIGHLAND AVE, MADISON, WI 53792-0002
(608) 263-7337
Mailing address
701 AUTUMN AVE, WAUPUN, WI 53963-1070
(920) 960-4389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5153-154
WI
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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