Individual
JESSICA L CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 BOONEWAY LN, BARGERSVILLE, IN 46106-8465
(317) 694-5317
Mailing address
826 BOONEWAY LN, BARGERSVILLE, IN 46106-8465
(317) 694-5317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005401A
IN
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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