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Individual
MRS. JONELLE DICKSON-PROKOPCHAK
Active
Individual
MRS. JONELLE DICKSON-PROKOPCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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