Individual
JILLIAN MCKITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CENTER ST, MILLSBORO, PA 15348-0143
(724) 986-1398
Mailing address
PO BOX 143, MILLSBORO, PA 15348-0143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011602
PA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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