Individual
ASHLEY MOGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
W6127 LORNA LN, APPLETON, WI 54915-7465
(920) 840-3033
Mailing address
W6127 LORNA LN, APPLETON, WI 54915-7465
(920) 840-3033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4839-154
WI
Other
Enumeration date
06/10/2019
Last updated
09/04/2025
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