Individual
MRS. JEANETTE SUZANNE WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2886
Mailing address
3114 W 19TH ST, LAWRENCE, KS 66047-2200
(785) 842-6972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2410
KS
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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