Individual
JENNIFER M AGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Mailing address
105 CLARKSBURG CT, CLEMMONS, NC 27012-8290
(336) 909-3904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001888
NC
Other
Enumeration date
07/13/2023
Last updated
08/22/2024
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