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Individual
JESSICA ANN WHITE
Active
Individual
JESSICA ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113258
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
01
—
14110526
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
MD
01
—
200101
ARKANSAS BOARD OF EXAMINERS SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY LICENSE
AR
Enumeration date
06/17/2018
Last updated
07/15/2022
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