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Individual

MRS. JUDITH GAIL WARKENTIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS EDU/SPEECH ENDORS

Contact information

Practice address
1060 E 86TH ST, SUITE 65C, INDIANAPOLIS, IN 46240-1863
(317) 443-7667
(317) 994-2010
Mailing address
1060 E 86TH ST STE 65C, P.O BOX 40696, INDIANAPOLIS, IN 46240-1831
(317) 443-7667
(317) 994-2010

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004408A
IN

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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