Individual
JENNA NICOLE DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
1500 HIGHLAND AVE, MADISON, WI 53705-2274
(608) 263-2522
Mailing address
1500 HIGHLAND AVE, MADISON, WI 53705-2274
(608) 263-2522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4915-154
WI
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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