Individual
MS. JENNIFER NICOLE JINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
20794 US HIGHWAY 61, SIKESTON, MO 63801-7260
(573) 471-2686
(573) 471-3515
Mailing address
500 W GRANT ST APT C, DEXTER, MO 63841-2451
(573) 471-2686
(573) 471-3515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2000159411
MO
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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