Individual
JENNIFER MANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8718
(920) 674-6694
Mailing address
10855 W POTTER RD, SUITE 1, WAUWATOSA, WI 53226-3439
(414) 475-7890
(414) 475-6522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3928-154
WI
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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