Individual
JENNIFER DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
413 14TH AVE, BARABOO, WI 53913-1331
(608) 434-4249
Mailing address
413 14TH AVE, BARABOO, WI 53913-1331
(608) 434-4249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3758-154
WI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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