Individual
SUSAN LYNN CURRIE JENSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 453-7045
Mailing address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 453-7045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2516-154
WI
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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