Individual
JENNA MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 CARRIAGE DR, WAUKESHA, WI 53188-4237
(608) 332-9681
Mailing address
125 CARRIAGE DR, WAUKESHA, WI 53188-4237
(608) 332-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3242154
WI
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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