Individual
TRINA LANE WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-3400
(920) 386-4186
Mailing address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3878-154
WI
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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