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1164565214
JENNIFER LISA AUTENRIETH
KISSIMMEE, FL
NPI
1164565214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 7468)
Enumeration Date
2007-02-15
Last Update Date
2016-09-09
Business Address
Ms. JENNIFER LISA AUTENRIETH M.A. CCC-SLP
1107 MABBETTE STREET
KISSIMMEE, FL 34741
Phone number: 407-201-8079
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Mailing Address
Ms. JENNIFER LISA AUTENRIETH M.A. CCC-SLP
1107 MABBETTE STREET
KISSIMMEE, FL 34741
Phone number: 407-201-8079
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