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Individual

JENI E WUTZKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
16734 170TH AVE, BARRETT, MN 56311-4101
(218) 731-3496
(320) 239-1420
Mailing address
16734 170TH AVE, BARRETT, MN 56311-4101
(218) 731-3496
(320) 239-1420

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7494
MN

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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