Individual
JESSICA ROTEN KLAMFOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 201, KERNERSVILLE, NC 27284-7198
(336) 994-7001
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(336) 996-7001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9451
NC
Other
Enumeration date
11/10/2011
Last updated
03/17/2018
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