Individual
MRS. SONYA MISHELLE NUSS JENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
412 E HELBERT ST, MULVANE, KS 67110-1643
(785) 445-2752
Mailing address
412 E HELBERT ST, MULVANE, KS 67110-1643
(785) 445-2752
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3078
KS
235Z00000X
Speech-Language Pathologist
8127
NC
Other
Enumeration date
09/29/2009
Last updated
06/10/2015
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