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Mr. Wolly Jefferson Joseph
Speech-Language Assistant in East Chicago, Indiana
NPI 1962193169

Wolly Jefferson Joseph is a Speech-Language Assistant based in East Chicago, IN and is specialized in Speech-Language Assistant. Wolly Jefferson Joseph practices in East Chicago, IN. The NPI Number for Wolly Jefferson Joseph is 1962193169 and holds a License No. 29002063A (Indiana).

The current practice location address for Wolly Jefferson Joseph is 1224 Beacon St Apt 3, East Chicago, IN and can be reached out via phone at 508-897-9171.

Location: 1224 Beacon St Apt 3, East Chicago, IN, 46312-4213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962193169
Provider Name
Wolly Jefferson Joseph
Credential
Provider Entity Type
Individual
Gender
Male
Address
1224 Beacon St Apt 3, East Chicago, IN, 46312-4213
Phone Number
508-897-9171
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1224 Beacon St Apt 3
City
East Chicago
State
Indiana
Zip
46312-4213
Phone Number
508-897-9171
Fax Number
person
Provider Business Mailing Address Details
Address
1224 Beacon St Apt 3
City
East Chicago
State
Indiana
Zip
46312-4213
Phone Number
508-897-9171
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
29002063A (Indiana)
Definition
Definition to come...
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