Individual
MISS JENNIFER DELPHENE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BUCKINGHAM DR, WINTERVILLE, NC 28590-9418
(252) 756-3099
(252) 756-0667
Mailing address
105 FRIBURG RD, NEW BERN, NC 28562-8971
(252) 638-9396
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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