Individual
JACLYN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S 1ST ST STE 300, LUFKIN, TX 75901-3800
(832) 539-1632
Mailing address
415 S 1ST ST STE 300, LUFKIN, TX 75901-3800
(832) 539-1632
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38835
TX
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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