Individual
MRS. JEMMA HOLLEY IMWALLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
514 E MURPHY ST, WALLACE, NC 28466-1931
(910) 285-2255
(877) 777-1038
Mailing address
514 E MURPHY ST, WALLACE, NC 28466-1931
(910) 285-2255
(877) 777-1038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411091
—
NC
Enumeration date
04/10/2006
Last updated
07/08/2007
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