Individual
JACLYNN MALVAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 NASHVILLE COMMONS DR, NASHVILLE, NC 27856-1823
(845) 416-0599
Mailing address
6678 ANNABELLA RD, ROCKY MOUNT, NC 27803-8141
(845) 416-0599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12756
NC
Other
Enumeration date
04/27/2016
Last updated
11/23/2024
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