Individual
JENNIFER L CHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 568-2000
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2077
WI
Other
Enumeration date
11/06/2009
Last updated
05/28/2019
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