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Individual
JESSICA ROSE LINK
Active
Individual
JESSICA ROSE LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100761
IA
235Z00000X
Speech-Language Pathologist
5083-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761
—
IA
05
—
5083-154
—
WI
Enumeration date
08/18/2020
Last updated
08/31/2020
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