Individual
MS. JERE AGNES EDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 HIGH POINT DR, KANE, PA 16735-9704
(814) 837-6706
(814) 837-9205
Mailing address
PO BOX 785, BRADFORD, PA 16701-0785
(814) 837-6706
(814) 837-9205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004374L
PA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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