Individual
JILL NEGRETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 250TH AVE., CUSHING, WI 54006-1234
(715) 648-5040
Mailing address
2395 250TH AVE., CUSHING, WI 54006-1234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3401-154
WI
235Z00000X
Speech-Language Pathologist
8324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144488669
—
WI
Enumeration date
05/30/2008
Last updated
03/28/2013
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