Individual
JACQUELINE PATRICIA ESSICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCCSLP
Contact information
Practice address
1910 RIDGE RD, LEXINGTON, NC 27295-7123
(336) 249-8249
(336) 249-8249
Mailing address
1910 RIDGE RD, LEXINGTON, NC 27295-7123
(336) 249-8249
(336) 249-8249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128UW
BCBS OF NC
NC
05
—
7411078
—
NC
Enumeration date
05/09/2006
Last updated
07/08/2007
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