Individual
JENNIFER MARIE MASKULINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
801 E LASALLE AVE, SOUTH BEND, IN 46617-2814
(574) 237-7845
(574) 472-6294
Mailing address
801 E LASALLE AVE, SOUTH BEND, IN 46617-2814
(574) 237-7845
(574) 472-6294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004233A
IN
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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