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1861096265
JESSICA MARIE PETERS
FORT WAYNE, IN
NPI
1861096265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242005700)
Enumeration Date
2020-11-25
Last Update Date
2021-05-07
Business Address
JESSICA MARIE PETERS M.H.S CCC-SLP
12938 COLDWATER RD
FORT WAYNE, IN 46845-9517
Phone number: 260-245-1455
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Mailing Address
JESSICA MARIE PETERS M.H.S CCC-SLP
12938 COLDWATER RD
FORT WAYNE, IN 46845-9517
Phone number: 260-245-1455
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