Individual
LORI ANN JENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1125 N 13TH ST, SHEBOYGAN, WI 53081-3281
(820) 208-9648
Mailing address
2210 N 9TH ST, SHEBOYGAN, WI 53083-4901
(920) 457-2316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1832-154
WI
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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