Individual
ANGELA L JESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 STATE ST, BRIDGEPORT, WV 26330-1375
(304) 933-3073
Mailing address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 933-3073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1007
WV
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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