Individual
MS. JENNIFER ROSE PENQUITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
615 JANE JAYROE, LAVERNE, OK 73848
(580) 921-5025
Mailing address
17744 EW 23 RD, LAVERNE, OK 73848
(405) 614-0696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OK
Other
Enumeration date
05/03/2010
Last updated
03/19/2024
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