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Individual

JENNIFER THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4820 STUDBURY HALL CT, WAKE FOREST, NC 27587-9800
(919) 609-5643
Mailing address
4820 STUDBURY HALL CT, WAKE FOREST, NC 27587-9800
(919) 609-5643
(919) 400-4334

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5864
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135J6
BCBS
NC
05
7411914
NC
Enumeration date
04/19/2007
Last updated
05/01/2026
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