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Individual

MRS. JENNY BROOKE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. SLP

Contact information

Practice address
170 MILL ST, GAHANNA, OH 43230-3036
(614) 414-5437
Mailing address
546 ALLVIEW CT, WESTERVILLE, OH 43081-2907
(740) 408-6063

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012047
OH

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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