Individual
MS. JERIDY D OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA/MS, CCC-SLP
Contact information
Practice address
1102 SAINT MARYS RD FL 2, JUNCTION CITY, KS 66441-4139
(785) 762-3350
Mailing address
1102 SAINT MARYS RD FL 2, JUNCTION CITY, KS 66441-4139
(785) 762-3350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2093
KS
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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