HEIDI R FREDERICKSON

BEAVER DAM, WI
NPI1972288017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  6614)
Enumeration Date2023-06-16
Last Update Date2024-10-07
Business Address
HEIDI R FREDERICKSON SLP-CF
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916-3027
Phone number: 920-887-7181
Mailing Address
HEIDI R FREDERICKSON SLP-CF
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511