Individual
MRS. JENNIFER LEE SITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
2116 GINTER ST, HENRICO, VA 23228-5731
(804) 931-9500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006996
VA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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