Individual
MISS JENNIFER LYNN MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 ASHBURY DRIVE, CARMEL, IN 46032-8225
(317) 810-9472
Mailing address
107 S WAYBURN ST APT B7, INDIANAPOLIS, IN 46229-2994
(317) 946-6659
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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