Individual
MS. JILL MARGARET VANHAAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
800 SAINT JOSEPH DR, KOKOMO, IN 46901-1983
(765) 236-1239
Mailing address
995 MORSE LANDING DR, CICERO, IN 46034-9577
(317) 984-1779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003193A
IN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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