| NPI | 1881822567 |
|---|---|
| Former Name | JOLENE ANN DENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8507) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1480) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 084218) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2021-06-24 |