Individual
JESSICA LYNN GERARD THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
65 LILLY POND RD, MORGANTOWN, WV 26501-7883
(304) 906-3110
Mailing address
65 LILLY POND RD, MORGANTOWN, WV 26501-7883
(304) 906-3110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202010870
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP-2364
WV
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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