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Individual

WHITNEY SCRAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2515 NEWTON ST, JASPER, IN 47546-1329
(812) 482-1722
Mailing address
2817 HOWARD DR, JASPER, IN 47546-1111

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006842A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22006842A
SLP LICENSE
IN
Enumeration date
07/31/2018
Last updated
07/31/2018
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