Individual
JENNIFER LYNN GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6329 MAPLEDOWNS DR, FORT WAYNE, IN 46835-3932
(260) 433-7903
Mailing address
6329 MAPLEDOWNS DR, FORT WAYNE, IN 46835-3932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001798A
IN
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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