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JENNIFER L SHANK

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1083831481

Individual Registrant:
 JENNIFER L SHANK 
Gender: F
Sole Proprietor

Location and contact information for practice:
19398 LINDEN RD  ARGOS, IN 46501-9765 US
Tel: 574-892-5920  Fax: --

Contact information for business:
19398 LINDEN RD  ARGOS, IN 46501-9765 US
Tel: 574-892-5920  Fax: --

Registration Information:
NPI: 1083831481
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
IN22003547A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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