Individual
JENNIFER CLAIRE FRACZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2411 MADISON SQ, PHILADELPHIA, PA 19146-2408
(732) 672-9537
Mailing address
2411 MADISON SQ, PHILADELPHIA, PA 19146-2408
(732) 672-9537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00600900
NJ
235Z00000X
Speech-Language Pathologist
Primary
SL009664
PA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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