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Individual

MRS. JEAN A KIENZLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
(708) 429-6622
Mailing address
13037 RHODE ST, CEDAR LAKE, IN 46303-9745
(219) 374-5051

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
IL

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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