Individual
MRS. SARAH MARIE SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, CCC-SLP
Contact information
Practice address
505 W 8TH ST, NEW RICHMOND, WI 54017-1524
(715) 246-6851
(715) 246-6422
Mailing address
2390 130TH AVE, GLENWOOD CITY, WI 54013-8008
(715) 220-1704
(715) 246-6422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3326-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525019
—
WI
Enumeration date
06/07/2011
Last updated
06/07/2011
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