Individual
JEANNE GANTENBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E WABASH AVE, WAUKESHA, WI 53186-6685
(262) 853-5391
Mailing address
601 E WABASH AVE, WAUKESHA, WI 53186-6685
(262) 853-5391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1194-154
WI
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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