Individual
JENNY LYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
N5575 1206TH ST, PRESCOTT, WI 54021-5400
(801) 360-1661
Mailing address
N5575 1206TH ST, PRESCOTT, WI 54021-5400
(801) 360-1661
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
4948-154
WI
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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