Individual
ANDREA ELAINE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 406-8920
Mailing address
2557 PEMBROKE RD, GASTONIA, NC 28054-4712
(980) 406-8920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/19/2014
Last updated
11/25/2023
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