JENICA L TABER

AVON, IN
NPI1952561946
Former NameJENICA L PETERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: IN  22004455A)
Enumeration Date2008-06-12
Last Update Date2008-06-12
Business Address
MRS. JENICA L TABER MS,CCC-SLP
1111 RONALD REAGAN PKWY
AVON, IN 46123-7085
Phone number: 317-217-3079
Mailing Address
MRS. JENICA L TABER MS,CCC-SLP
8440 WANDA LAKE DR
CAMBY, IN 46113-8718
Phone number: 317-626-4923
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