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Jennifer Walenciak, SLPA

NPI 1568005791 · on the registry since 2019 · sole proprietor

Practice

Address
1605 Blackard Ln
Ponca City, OK 74604
Phone
(580) 304-9767

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma