Individual
DR. JESSICA LARRABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1020 35TH ST, KENOSHA, WI 53140-1932
(262) 925-1500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
592-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040435
—
WI
Enumeration date
04/16/2014
Last updated
09/25/2023
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