Individual
MRS. JACQUELINE GOERTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2300 W CAPITAL AVE, GRAND ISLAND, NE 68803-2003
(308) 385-6252
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1784
NE
235Z00000X
Speech-Language Pathologist
—
AR
Other
Enumeration date
05/31/2012
Last updated
11/09/2018
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