Individual
KATIE ANN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./CFY-SLP
Contact information
Practice address
540 SHEPHERDS DR, WEST BEND, WI 53090-8488
(262) 306-8450
Mailing address
540 SHEPHERDS DR, WEST BEND, WI 53090-8488
(262) 306-8450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3002-154
WI
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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