Individual
JESSICA BOYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S 20TH ST, MILWAUKEE, WI 53215-4442
(414) 389-3275
Mailing address
3200 SOUTH 20TH, MILWAUKEE, WI 53215-9913
(414) 881-0803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3747154
WI
Other
Enumeration date
06/09/2014
Last updated
07/21/2022
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