Individual
JESSICA WOLFF MANCINIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
40 DUKE MEDICINE CIRCLE DUKE UNIVERSITY & HEALTH SYSTEM, DURHAM, NC 27710-8399
(919) 684-6271
Mailing address
DEPT OF SPEECH PATHOLOGY & AUDIOLOGY BOX 3887-DUMC, DURHAM, NC 27710-0001
(813) 695-1794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13270
NC
235Z00000X
Speech-Language Pathologist
SA13296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010163500
—
FL
Enumeration date
02/16/2015
Last updated
11/09/2018
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