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Individual

ANGELA M JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 N WALL ST, CARBONDALE, IL 62901-1737
(618) 457-6226
Mailing address
1025 N. WALL STREET, CARBONDALE, IL 62901
(618) 457-6226

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1809201
IL

Other

Enumeration date
09/11/2017
Last updated
07/21/2022
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