JANA SUE WILDE

GRANGER, IN
NPI1942598867
Former NameJANA SUE SIMON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22004409A)
Enumeration Date2011-07-12
Last Update Date2011-07-12
Business Address
Mrs. JANA SUE WILDE M.S.,CCC,SLP
5610 TOWN CENTER DR APT. # 14
GRANGER, IN 46530-4419
Phone number: 630-915-5936
Mailing Address
Mrs. JANA SUE WILDE M.S.,CCC,SLP
5610 TOWN CENTER DR APT. # 14
GRANGER, IN 46530-4419
Phone number: 630-915-5936
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