MACKENZIE JOHN IWEN

SHEBOYGAN, WI
NPI1730453770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  3630-154)
Enumeration Date2012-03-07
Last Update Date2012-03-07
Business Address
-- MACKENZIE JOHN IWEN M.S.-C.F.
3613 S 13TH ST
SHEBOYGAN, WI 53081-7253
Phone number: 920-458-4040
Mailing Address
-- MACKENZIE JOHN IWEN M.S.-C.F.
6520 W ENGLISH MEADOWS DR APT I102
GREENFIELD, WI 53220-3969
Phone number: 414-526-7326
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