Individual
JENESSA GROINUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1503 MICHAELS RD, HENRICO, VA 23229-4822
(804) 288-6245
Mailing address
1503 MICHAELS RD, HENRICO, VA 23229-4822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007941
VA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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