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Individual

MS. JENNIFER KRISTINA TENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
320 CENTRAL AVE STE 406, COOS BAY, OR 97420-2241
(541) 269-0321
Mailing address
320 CENTRAL AVE STE 406, COOS BAY, OR 97420-2241
(541) 269-0321
(541) 267-0785

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/05/2018
Last updated
02/05/2018
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