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Individual

DR. JENNIFER LEE HAMBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
499 QUINLAN AVE, DEKALB, IL 60115-8292
(724) 467-2210

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
05/17/2012
Last updated
05/17/2012
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