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Individual

JACLYN UPCHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
7478 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 762-8449
(317) 534-3215
Mailing address
7440 HAGUE RD, INDIANAPOLIS, IN 46256-1930
(317) 863-9278
(317) 534-3215

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008002A
IN

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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