Individual
JENNIFER MARIE ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1686
(618) 468-8010
(618) 467-7065
Mailing address
503 CHAPMAN ST, EDWARDSVILLE, IL 62025-1860
(618) 659-9084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005339
IL
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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