SOPHIA POLARIS

KENOSHA, WI
NPI1154970374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  4584)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
SOPHIA POLARIS M.S., CCC-SLP
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
Mailing Address
SOPHIA POLARIS M.S., CCC-SLP
2427 E OKLAHOMA AVE
MILWAUKEE, WI 53207-3059
Phone number:
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