Individual
ERIK JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N CENTRAL AVE, KISSIMMEE, FL 34741-4450
(352) 805-4404
Mailing address
1200 N CENTRAL AVE, KISSIMMEE, FL 34741-4450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA19869
FL
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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