Individual
JEANETTE ANNELLE LECY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC/SLP
Contact information
Practice address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 214-7082
Mailing address
13808 INDIAN BEACH RD, SPICER, MN 56288-9597
(320) 796-4342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7627
MN
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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