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Individual
MS. JESSICA SUSAN VENTURA
Active
Individual
MS. JESSICA SUSAN VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009872-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497492
—
NY
Enumeration date
10/11/2011
Last updated
08/31/2020
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