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Individual

MS. JANELEL LOUISE KNIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCCCSLP

Contact information

Practice address
1712 N LELAND DR, HUNTINGBURG, IN 47542-9348
(812) 638-4090
Mailing address
1712 N LELAND DR, HUNTINGBURG, IN 47542-9348
(812) 638-4090

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12122119
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12122119
SPEECH THERAPIST
IN
Enumeration date
05/07/2010
Last updated
05/07/2010
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