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Individual
JILLIAN P ST. DENIS
Active
Individual
JILLIAN P ST. DENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029777-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029777-01
SLP LICENSE
NY
01
—
14336968
ASHA
—
Enumeration date
06/26/2020
Last updated
06/26/2020
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