Individual
MAGDALA DIERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
Mailing address
2705 ENLOE ST, HUDSON, WI 54016-8173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6618-154
WI
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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