Individual
JAKOBIE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEREDITH DR STE 200, DURHAM, NC 27713-2287
(919) 361-1090
Mailing address
2309 CLUB PL, DULUTH, GA 30096-8215
(910) 916-4258
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA0494
NC
Other
Enumeration date
10/16/2012
Last updated
03/21/2021
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