Individual
MS. JACQUELINE E TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/L
Contact information
Practice address
3585 BRAMBLETON AVE, ROANOKE, VA 24018-6521
(540) 776-1029
Mailing address
3585 BRAMBLETON AVE, ROANOKE, VA 24018-6521
(540) 776-1029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005919
VA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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