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Individual
JENNIFER LYNN MARTIN
Active
Individual
JENNIFER LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11884
FL
235Z00000X
Speech-Language Pathologist
SLP-1267
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014269200
—
FL
05
—
3810018692
—
WV
Enumeration date
11/21/2011
Last updated
04/06/2023
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