Individual
JENNIFER PARKS PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
3311 BURNT MILL DR, WILMINGTON, NC 28403-2654
(910) 945-6072
(910) 945-6169
Mailing address
3311 BURNT MILL DR, WILMINGTON, NC 28403-2654
(910) 945-6072
(910) 945-6169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4123
NC
Other
Enumeration date
09/04/2008
Last updated
12/22/2021
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