Individual
JENNA PERSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(443) 695-4050
Mailing address
8526 PLEASANT PLAINS RD, TOWSON, MD 21286-8141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04365
PA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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