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Individual

JACLYN DIANA LORRAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
2525C LEBANON PIKE STE 102, NASHVILLE, TN 37214-2473
(615) 669-0761
Mailing address
1817 W MORSE AVE, CHICAGO, IL 60626-3108
(724) 650-3369

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146017873
IL
235Z00000X
Speech-Language Pathologist
Primary
2202007906
VA

Other

Enumeration date
08/13/2016
Last updated
01/31/2026
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