Individual
MISS JENNA MAE STUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7300
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5259
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5259
STATE LICENSE
WI
Enumeration date
04/26/2022
Last updated
08/05/2024
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