Individual
JUNEROSE JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6190
(608) 262-7679
Mailing address
210 E 86TH ST, RM 401A, NEW YORK, NY 10028-7726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028090
NY
235Z00000X
Speech-Language Pathologist
20739
CA
Other
Enumeration date
01/28/2011
Last updated
10/30/2018
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