Individual
JESSICA PIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1327 CENTER LAKE DR, MT PLEASANT, SC 29464-7421
(732) 754-0222
Mailing address
1327 CENTER LAKE DR, MT PLEASANT, SC 29464-7421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4502
SC
Other
Enumeration date
10/30/2009
Last updated
05/01/2013
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