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Jennifer Anne Champagne, SLP

Speech-Language Pathologist, in Malone, NY. Individual provider (NPI-1).

NPI number1609001007
StatusActive
Last updated in NPPESMay 28, 2009

Details

NPI
1609001007
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Anne Champagne
Credential
SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2009
Last updated
May 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,017288NYYes

Practice location

31 State St
Malone, NY 12953-2411

Phone 518-483-3608

Mailing address

31 State St
Malone, NY 12953-2411

Phone 518-483-3608

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