Individual
JENNY M BLANKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
103 FAIR ST, CARMI, IL 62821-1327
(618) 384-6130
Mailing address
103 FAIR ST, CARMI, IL 62821-1327
(618) 384-6130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005499A
IN
Other
Enumeration date
09/06/2012
Last updated
04/26/2023
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