Individual
JACI CHEESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1903 ANN ST, PARKERSBURG, WV 26101-2504
(304) 428-2403
Mailing address
1903 ANN ST, PARKERSBURG, WV 26101-2504
(304) 428-2403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP-0662
WV
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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