Individual
JENNIFER JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
1807 MAJESTIC DR, DURHAM, NC 27707-4347
(919) 695-7078
Mailing address
2326 REGENCY DR, RANDLEMAN, NC 27317-9514
(336) 736-7030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14081108
NC
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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