Individual
JILL MARIE CLOSEME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. , CCC-SLP
Contact information
Practice address
336 BLOOMFIELD ST STE 203, JOHNSTOWN, PA 15904-3271
(814) 266-3196
Mailing address
336 BLOOMFIELD ST STE 203, JOHNSTOWN, PA 15904-3271
(814) 266-3196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012778
PA
Other
Enumeration date
02/24/2018
Last updated
03/17/2018
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