JENNIFER NICKLAS

JEFFERSON CITY, MO
NPI1770706038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2009005833)
Enumeration Date2007-04-11
Last Update Date2009-04-07
Business Address
Mrs. JENNIFER NICKLAS CCC-SLP
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070
Mailing Address
Mrs. JENNIFER NICKLAS CCC-SLP
5409 BULL ROCK RD
JEFFERSON CITY, MO 65109-6277
Phone number: 573-634-3070
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