Individual
JENNIFER PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 PALOS VERDE DR, MOORESVILLE, NC 28117-9070
(704) 237-0521
Mailing address
105 PALOS VERDE DR, MOORESVILLE, NC 28117-9070
(704) 237-0521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7861
AZ
Other
Enumeration date
12/19/2012
Last updated
11/29/2017
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