Individual
JENNIFER ANN KICIELINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3354 JEROME LN, CAHOKIA, IL 62206-2604
(618) 337-9400
Mailing address
234 S LIBERTY RD, TROY, IL 62294-2830
(618) 420-9222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010646
IL
Other
Enumeration date
11/09/2010
Last updated
11/19/2018
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