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Individual

BRITTANY JURGENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
(513) 755-3762
Mailing address
5626 MELBURY CT, MASON, OH 45040-7890
(513) 226-0878

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
242.001622
IL
235Z00000X
Speech-Language Pathologist
Primary
SP.13718
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0406425
OH
Enumeration date
12/09/2010
Last updated
09/22/2020
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