Individual
JADA ELLEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1364 WASHINGTON ST, MT PLEASANT, NC 28124-7402
(980) 292-3685
Mailing address
512 MOSS STREAM LN, CHARLOTTE, NC 28214-8845
(980) 395-1132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002059
NC
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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