Individual
JEANINE M ACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 287-0090
Mailing address
5219 88TH AVE, KENOSHA, WI 53144-7468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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