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Individual

JESSICA MARIE BRIENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324-2031
(937) 427-9200
(513) 755-3762
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
(513) 755-3762

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10560
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2187155
OH
01
AB7360731
MEDICARE PIN
Enumeration date
06/27/2017
Last updated
06/27/2017
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