Individual
JENNA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5105 MONROE RD, CHARLOTTE, NC 28205-7825
(336) 970-1437
(336) 294-8091
Mailing address
3389 DOVER CHURCH RD, COLFAX, NC 27235-9507
(336) 970-1437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3002774
NC
235Z00000X
Speech-Language Pathologist
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2023
Last updated
10/01/2024
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