Individual provider · NPI-1

Sofia Carias, SLP

Speech-Language Pathologist, · Racine, WI

NPI number1023279601
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1023279601
Entity type
Individual (NPI-1)
Name
Sofia Carias
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2008
Last updated
Jun 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2850154WIYes

Practice location

1100 Commerce Dr Ste 114
Racine, WI 53406-3700

Phone 262-886-3431

Mailing address

2573 N Bartlett Ave
Milwaukee, WI 53211-3953

Phone 414-763-2899

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