Individual
SUSAN LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
700 N MAIN ST, VERONA, WI 53593-1103
(608) 516-8345
Mailing address
700 N MAIN ST, VERONA, WI 53593-1103
(608) 516-8345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
167857
WI
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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