Individual
JANINE MARIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 N MILWAUKEE RIVER PKWY, GLENDALE, WI 53209-3816
(414) 351-7190
Mailing address
W164N9795 WATER ST, GERMANTOWN, WI 53022-5032
(262) 227-6649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
592841
WI
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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