Individual
JORDAN CHRISTINE PEROUTKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
725 S WEBSTER AVE, GREEN BAY, WI 54301-3500
(920) 433-7995
(920) 433-3458
Mailing address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-7370
(715) 526-7294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5258-154
WI
Other
Enumeration date
07/01/2021
Last updated
12/28/2022
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