MRS. Sheila Widergren, M.S. CCC,SLP

NPI #1356464929 in Lake City, Florida

Provider Information

NPI Number
1356464929
Entity Type
Individual
Name
MRS. Sheila Widergren, M.S. CCC,SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC,SLP
Enumeration Date
Apr 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
298 NW COUNTRY LAKE GLN
State
Florida
ZIP Code
32055-8549
Phone
(386) 758-8322

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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