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Individual

TRINA HEUSSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
N3995 ANNEX RD, JEFFERSON, WI 53549-9618
(920) 674-7386
Mailing address
1105 MCCOY PARK RD, FORT ATKINSON, WI 53538-1076

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1792-154
WI

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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