Individual
JESSICA J. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3006 ROBIN TERRY CT, CHARLOTTE, NC 28208-2475
(843) 291-5995
Mailing address
3006 ROBIN TERRY CT, CHARLOTTE, NC 28208-2475
(843) 291-5995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002889
NC
Other
Enumeration date
06/20/2022
Last updated
09/22/2024
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