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Individual
JOLEEN FERNALD
Active
Individual
JOLEEN FERNALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0756
NH
235Z00000X
Speech-Language Pathologist
SA12821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389051
MVP
NH
01
—
66Y010671NH01
ANTHEM
NH
Enumeration date
02/28/2007
Last updated
10/04/2022
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