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Individual
JENNA KIRK
Active
Individual
JENNA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094740
—
OH
01
—
SP.10069
SPEECH PATHOLOGY BOARD
OH
Enumeration date
04/04/2012
Last updated
08/22/2024
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