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Individual
MRS. JENNIFER KATHERINE SCHOFFER CLOSSON
Active
Individual
MRS. JENNIFER KATHERINE SCHOFFER CLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
970
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534973
—
MT
01
—
66247-0
BLUE CROSS BLUE SHIELD
MT
Enumeration date
04/18/2007
Last updated
07/08/2007
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