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Individual

NATASHA WALDRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
N55W33304 TERRACE DR, NASHOTAH, WI 53058-9747
(262) 617-8860
Mailing address
N55W33304 TERRACE DR, NASHOTAH, WI 53058-9747
(262) 617-8860

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14149552
ASHA CCC
Enumeration date
08/08/2022
Last updated
08/08/2022
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