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Individual

MRS. JENNIFER M NUDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 E 2ND ST, CENTENNIAL HALL, BLOOMSBURG, PA 17815-1301
(570) 389-5380
(570) 389-5022
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0388
(570) 288-8881
(570) 288-8065

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005591L

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017610630005
PA
Enumeration date
05/21/2007
Last updated
04/01/2016
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