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Individual
MISS JENNIFER BROOKE IVEY
Active
Individual
MISS JENNIFER BROOKE IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
21975
CA
235Z00000X
Speech-Language Pathologist
SLP007374
GA
235Z00000X
Speech-Language Pathologist
TSLP5956
AZ
Other
Enumeration date
08/15/2008
Last updated
09/02/2015
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