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1023283090
JENNIFER WILSON
FORT WAYNE, IN
NPI
1023283090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 220060930)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
-- JENNIFER WILSON CCC-SLP
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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Mailing Address
-- JENNIFER WILSON CCC-SLP
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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