Individual
MRS. JENNIFER PHEIFER STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
11732 ASTER LN, WOODBURY, MN 55129-6703
(608) 443-6930
Mailing address
11732 ASTER LN, WOODBURY, MN 55129-6703
(608) 443-6930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
311371
WI
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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