Individual
MRS. BETH DOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1924 SINCLAIR DR, DE PERE, WI 54115-7530
(920) 403-0103
Mailing address
1924 SINCLAIR DR, DE PERE, WI 54115-7530
(920) 403-0103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2614-154
WI
Other
Enumeration date
07/29/2008
Last updated
04/28/2022
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