Individual
JACQUELINE HENNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 COUNTY RD E, HUDSON, WI 54016-6902
(763) 689-5385
Mailing address
610 COUNTY RD E, HUDSON, WI 54016-6902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7147
WI
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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