Individual
JILL DETWEILER RUGGIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 VAUCLAIN AVE, WOODLYN, PA 19094-1215
(610) 506-1317
Mailing address
1024 VAUCLAIN AVE, WOODLYN, PA 19094-1215
(610) 506-1317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008982
PA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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