Individual
JENNA COLEMAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2858
(423) 928-6464
(423) 232-7970
Mailing address
PO BOX 276, CLINTWOOD, VA 24228-0276
(276) 701-5696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006998
VA
Other
Enumeration date
12/30/2015
Last updated
04/07/2018
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