Individual
JENNIFER LABELLE BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
136 RIDGE RD, MANCHESTER CENTER, VT 05255-4507
(786) 879-1254
Mailing address
136 RIDGE RD., MANCHESTER CENTER, VT 05255
(786) 879-1254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8045153
VT
Other
Enumeration date
12/01/2010
Last updated
01/22/2014
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