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Individual
MS. JESSICA BAUMAN
Active
Individual
MS. JESSICA BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
000309
DC
235Z00000X
Speech-Language Pathologist
Primary
020330
NY
235Z00000X
Speech-Language Pathologist
06300
MD
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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