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Individual

JESSICA ROSE LINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3485 WINDSOR AVE, DUBUQUE, IA 52001-1329
(563) 557-7180
Mailing address
9853 JANELLE CT, DUBUQUE, IA 52003-8956
(563) 451-5042

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100761
IA
235Z00000X
Speech-Language Pathologist
5083-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100761
IA
05
5083-154
WI
Enumeration date
08/18/2020
Last updated
08/31/2020
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