Individual
MRS. JOLYNN C LUEVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
(219) 322-1414
Mailing address
440 EDMOND DR, DYER, IN 46311-1523
(219) 322-1415
(219) 322-1414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002107A
IN
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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