Individual
MRS. JENNIFER MOORE HARWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
120 REGALWOOD RD, GREENVILLE, NC 27858-8166
(252) 917-1532
(252) 321-1052
Mailing address
120 REGALWOOD RD, GREENVILLE, NC 27858-8166
(252) 917-1532
(252) 321-1052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4411
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412121
—
NC
Enumeration date
02/21/2007
Last updated
07/08/2007
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