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Individual
JENNIFER MCCULLUM
Active
Individual
JENNIFER MCCULLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S/L PATHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ME1650
ME
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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