Individual
JANE MARY DETTMERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST, CCC-SLP
Contact information
Practice address
990 FLAMBEAU AVE, PHILLIPS, WI 54555-1018
(715) 339-2419
Mailing address
625 KNOX ST, PRENTICE, WI 54556-1101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01123942
WI
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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