Individual
JENNA STURGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4 PATRIOT LN, WHITMAN, MA 02382-2380
(406) 403-1660
Mailing address
4 PATRIOT LN, WHITMAN, MA 02382-2380
(406) 403-1660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08085
MD
235Z00000X
Speech-Language Pathologist
9727
MA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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