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Individual

JORDYN KOVELESKI GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
4052 BARWOOD LN, STEWARTSTOWN, PA 17363-6502
(717) 824-5708
Mailing address
4052 BARWOOD LN, STEWARTSTOWN, PA 17363-6502
(717) 824-5708

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01244L
MD
235Z00000X
Speech-Language Pathologist
Primary
SL015937
PA

Other

Enumeration date
01/31/2017
Last updated
12/13/2021
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