Individual
MRS. VIRGINIA ABRAHAM JAGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9074 N DEERBROOK TRL, BROWN DEER, WI 53223-2474
(414) 355-3824
Mailing address
8101 W BONNIWELL RD, MEQUON, WI 53097-2001
(262) 242-6723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
558-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42804900
—
WI
Enumeration date
11/02/2006
Last updated
07/08/2007
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