Individual
MRS. JILL WIDIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-4361
(715) 538-1700
Mailing address
410 E PINE ST, STRUM, WI 54770-7868
(715) 695-3349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2622-154
WI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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