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Individual
JENNIFER MIAN
Active
Individual
JENNIFER MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14030727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
932221895
GHI
NY
Enumeration date
05/28/2014
Last updated
11/28/2016
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