Individual
JACQULINE MARIE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 799-7732
Mailing address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 799-7732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000300
VA
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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