Individual
JENNIFER SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
101 SUNSHINE BLVD, SOLDIERS GROVE, WI 54655-7106
(608) 624-5244
Mailing address
S3921 BAKKOM RD, VIROQUA, WI 54665-8163
(608) 637-8759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2773-154
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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