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Individual

JESSICA BOBERG HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
910 S WINTERHAWK DR UNIT 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Mailing address
910 S WINTERHAWK DR UNIT 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
SA7351
FL

Other

Enumeration date
08/12/2008
Last updated
07/21/2022
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