Individual
JENNA LYNN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1229 TOTEROS DR, WAXHAW, NC 28173-6950
(704) 649-4509
(704) 843-9045
Mailing address
1229 TOTEROS DR, WAXHAW, NC 28173-6950
(704) 649-4509
(704) 843-9045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001314
NC
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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