Individual
JEANINE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
Mailing address
603 OLDE MILL DR, SANFORD, NC 27330-5754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6986
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412567
—
NC
Enumeration date
01/15/2007
Last updated
07/08/2007
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