Individual
MS. NANCY ELLEN JESUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
100 W PARISH HILL RD, PUTNEY, VT 05346-8661
(802) 387-2899
Mailing address
100 WEST PARISH HILL, PUTNEY, VT 05346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
Other
Enumeration date
03/28/2007
Last updated
07/26/2007
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