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Individual
JENNIFER MARIE SWENSON
Active
Individual
JENNIFER MARIE SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002349
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665950
—
IA
Enumeration date
06/06/2013
Last updated
06/06/2013
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