Individual
TALIA LYN NENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
W6127 LORNA LN, APPLETON, WI 54915-7465
(920) 840-3033
(920) 882-4009
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5067-154
WI
Other
Enumeration date
04/29/2020
Last updated
04/05/2023
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