Individual
MRS. JACQUELINE GRACE MUCHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
441 WILLIAMS RD, WYNNEWOOD, PA 19096-1632
(267) 968-4683
Mailing address
441 WILLIAMS ROAD, WYNNEWOOD, PA 19096
(267) 968-4683
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009544
PA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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