Individual
ANNE JENSVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1005 E 23RD ST, STE 200, FREMONT, NE 68025-0800
(866) 784-2329
Mailing address
19408 W RICE AVE, HAUSER, ID 83854-6992
(307) 699-1940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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