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Individual

JENNA ERIN LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
4402 WILLIAMS DR STE 115, GEORGETOWN, TX 78628-1388
(512) 256-7627
Mailing address
4402 WILLIAMS DR STE 115, GEORGETOWN, TX 78628-1388

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39383
TX

Other

Enumeration date
09/11/2017
Last updated
09/11/2017
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