Individual
LEAH JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1720 CREST ST, JUNEAU, AK 99801-8058
(765) 994-6432
Mailing address
1720 CREST ST, JUNEAU, AK 99801-8058
(765) 994-6432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
137056
AK
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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