Individual
MRS. JILL B STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
260 LA SALLE ST, WILMINGTON, NC 28411-6803
(202) 494-3383
Mailing address
260 LA SALLE ST, WILMINGTON, NC 28411-6803
(202) 494-3383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01-0001019
DE
235Z00000X
Speech-Language Pathologist
Primary
30002551
NC
Other
Enumeration date
10/02/2007
Last updated
04/29/2026
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