Individual
JESSICA KOSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1226 BERLIN ST, WAUPACA, WI 54981-1991
(715) 258-5521
Mailing address
1226 BERLIN ST, WAUPACA, WI 54981-1991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3808-154
WI
Other
Enumeration date
06/27/2013
Last updated
03/17/2018
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