Individual
MRS. HOLLY JO DINSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
6308 8TH AVENUE, KENOSHA, WI 53143
(262) 656-3300
Mailing address
1888 WHITE LAKE DR., ANTIOCH, IL 60002
(847) 603-1622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1971-154
WI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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