Individual
JENNICA ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 E SUNSHINE ST, SPRINGFIELD, MO 65804-1313
(417) 523-7500
(417) 523-7595
Mailing address
3297 W PRIMROSE ST, SPRINGFIELD, MO 65807-8234
(417) 812-0798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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