Individual
JACALYN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Mailing address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3760-154
WI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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