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Individual
JACKLYN NICOLE BUDDENHAGEN
Active
Individual
JACKLYN NICOLE BUDDENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.,CF-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029245
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
01/30/2019
Last updated
04/23/2020
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