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Individual
JENNIFER WICKESBERG
Active
Individual
JENNIFER WICKESBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51231
TX
237600000X
Audiologist-Hearing Aid Fitter
51231
TX
237700000X
Hearing Instrument Specialist
51231
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167277601
—
TX
05
—
167277602
—
TX
05
—
167277603
—
TX
05
—
167277604
—
TX
05
—
167277605
—
TX
Enumeration date
03/28/2006
Last updated
08/19/2020
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