Individual
MRS. JENINE ENTWISTLE VIOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP CCC-SLP LSLS AVT
Contact information
Practice address
3201 W MARKET ST, GREENSBORO, NC 27403-1455
(336) 541-8167
(336) 663-0266
Mailing address
33 TRUMAN ST, WINSTON SALEM, NC 27106-4948
(203) 522-9943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12928
NC
235Z00000X
Speech-Language Pathologist
Primary
6114
SC
Other
Enumeration date
07/10/2017
Last updated
02/18/2022
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