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Individual

JENNIFER MARIE NEALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
1826 DEEP WOODS LN, FORT COLLINS, CO 80524-2370
(727) 560-8758
Mailing address
1826 DEEP WOODS LN, FORT COLLINS, CO 80524-2370
(727) 560-8758

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA12476
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004452
CO
235Z00000X
Speech-Language Pathologist
SZ5770
FL

Other

Enumeration date
06/05/2012
Last updated
04/13/2022
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