Individual
MS. JAYNE FRANCES POLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
806 N 3RD ST, KENTLAND, IN 47951-1016
(219) 613-6425
Mailing address
806 N 3RD ST, KENTLAND, IN 47951-1016
(219) 613-6425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29001985A
IN
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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