Individual
JENNIFER L. STAHLECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
401 S MARX ST, SPENCER, NE 68777-3603
(402) 589-1408
Mailing address
PO BOX 57, 401 SOUTH MARX STREET, SPENCER, NE 68777-0057
(402) 589-1408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
790
NE
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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