Individual
MRS. JANICE JORDAN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3712 TRACE DR W, WILSON, NC 27893-8347
(252) 291-2137
(252) 237-8313
Mailing address
3712 TRACE DR W, WILSON, NC 27893-8347
(252) 291-2137
(252) 237-8313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412313
—
NC
Enumeration date
03/02/2007
Last updated
07/09/2007
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