Individual
JENNIFER MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1903 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3916
(336) 718-6700
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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