Individual
JILL NICOLE WIECIECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
83 PURPLE MARTIN RD, HARRELLS, NC 28444-8891
(910) 876-5572
Mailing address
83 PURPLE MARTIN RD, HARRELLS, NC 28444-8891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NC
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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