Individual
SUE JEZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 AMORETTI ST, LANDER, WY 82520-2843
(307) 349-2361
Mailing address
337 AMORETTI ST, LANDER, WY 82520-2843
(307) 349-2361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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