Individual
JEANNENE D JUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1069 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 728-7019
(419) 728-7020
Mailing address
11250 KRAMER RD, BOWLING GREEN, OH 43402-9527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.6790
OH
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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