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Individual
MRS. JENNY L BUFFINGTON
Active
Individual
MRS. JENNY L BUFFINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E., C.C.C.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA1583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812012900
—
FL
05
—
888398000
—
FL
01
—
S2545
BC/BS OF FLORIDA #
FL
Enumeration date
09/12/2006
Last updated
02/02/2011
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