Individual
JEAN ALLEN EDQUIBAN VERDAGUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3129 MICHIGAN AVE, SHEBOYGAN, WI 53081-3062
(920) 458-1155
Mailing address
3129 MICHIGAN AVE, SHEBOYGAN, WI 53081-3062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4869-154
WI
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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