Individual
MRS. JENNIFER BLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10915 W 133RD AVE, CEDAR LAKE, IN 46303-9706
(219) 390-7498
(219) 390-7549
Mailing address
1042 ARROWHEAD DR, DYER, IN 46311-1969
(219) 743-0256
(219) 390-7549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/29/2011
Last updated
12/26/2013
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