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Individual

KAITLIN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
1923 INDEPENDENCE BLVD APT A, LANCASTER, OH 43130-1272
(740) 412-7923

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2015112-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.11770
OH

Other

Enumeration date
05/27/2015
Last updated
01/25/2016
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