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Individual

MRS. JENNA KATHERINE WALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
862 CASSIDY PIKE, EWING, KY 41039-8498
(606) 748-1719
Mailing address
779 PECKS RIDGE RD, FLEMINGSBURG, KY 41041-8511
(606) 748-0593

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY

Other

Enumeration date
07/26/2011
Last updated
07/26/2011
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