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Individual

JENNIFER LYNN DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7231 E BROADWAY RD, MESA, AZ 85208-2030
(480) 807-4700
Mailing address
2929 N 70TH ST APT 2019, SCOTTSDALE, AZ 85251-6338
(412) 432-6574

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00862300
NJ
235Z00000X
Speech-Language Pathologist
SL013379
PA
235Z00000X
Speech-Language Pathologist
Primary
SLP12290
AZ

Other

Enumeration date
04/05/2017
Last updated
10/08/2020
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