Angeleen Dodge SLP

NPI 1104041748 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1104041748
Gender Female
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
500 N PARK AVE
FOND DU LAC WI, 54935-1943, US
Phone (920) 929-8858
Fax (920) 923-3038
Business Location
500 N PARK AVE
FOND DU LAC WI, 54935-1943, US
Phone (920) 929-8858
Fax (920) 923-3038
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 1962-154
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According to our database, Angeleen Dodge SLP NPI is 1104041748, taxonomy code is 235Z00000X and license number is 1962-154, license state is located at Wisconsin. Angeleen Dodge SLP physically located at 500 N Park Ave, Fond Du Lac WI, 54935-1943. NPI Number Angeleen Dodge SLP has the Individual type.

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1104041748 NPI number is provided on an as is basis without warranty of any kind. 1104041748 is maintained by the National Plan & Provider Enumeration System. The contents of Angeleen Dodge SLP are for informational purposes only.