Individual
JACQUELINE LEITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N2325 ELM ST, WAUTOMA, WI 54982-8093
(949) 813-8216
Mailing address
N2325 ELM ST, WAUTOMA, WI 54982-8093
(949) 813-8216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6810154
WI
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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