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Individual
JENNIFER MARIE CARLSON
Active
Individual
JENNIFER MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
144544
AK
235Z00000X
Speech-Language Pathologist
Primary
7101008729
MI
Other
Enumeration date
03/18/2019
Last updated
01/05/2024
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