Individual
JORDAN RENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
132 BARTH STREET, NORTH ADAMS, MA 01247
(413) 652-4267
Mailing address
132 BARTH ST, NORTH ADAMS, MA 01247-2640
(413) 652-4267
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
733
MA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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