Individual
MISS JACLYN RACHELLE LOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
116 APPLEWOOD DR, ONA, WV 25545-9581
(304) 525-7622
Mailing address
116 APPLEWOOD DR, ONA, WV 25545-9581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
11/14/2023
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