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Individual

JENNIFER MURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(315) 663-4810
Mailing address
109 HEINS AVE, NORTH SYRACUSE, NY 13212-2039

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
018990-1
NY
235Z00000X
Speech-Language Pathologist
Primary
SLP-3331
ID

Other

Enumeration date
02/24/2018
Last updated
02/24/2018
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