Individual
ANITA LEE-BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 859-0269
(920) 859-0279
Mailing address
1033 N LARK ST, OSHKOSH, WI 54902-3349
(920) 859-0269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4016-154
WI
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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