Individual
JENNY STAVAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 W NATIONAL AVE, MILWAUKEE, WI 53204-1347
(515) 450-0700
Mailing address
8336 AVON CT, WAUWATOSA, WI 53213-3304
(262) 993-3297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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