Individual
JILLIAN SELDOMRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DAVIS STUART RD, RONCEVERTE, WV 24970-9549
(304) 647-3487
Mailing address
2774 BRUSH COUNTRY RD, MARLINTON, WV 24954-6636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0205
WV
Other
Enumeration date
01/03/2012
Last updated
07/12/2019
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