Individual
MRS. DEBORAH SUE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
317 AVON ST, NEW LONDON, WI 54961-1110
(920) 982-6658
Mailing address
317 AVON ST, NEW LONDON, WI 54961-1110
(920) 982-6658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
128-154
WI
Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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