Individual
JESSICA MARIE LONGDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
1604 SAINT PAUL AVE, NORTH FOND DU LAC, WI 54937-1072
(920) 602-2367
Mailing address
1604 SAINT PAUL AVE, NORTH FOND DU LAC, WI 54937-1072
(920) 602-2367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3458-154
WI
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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