Individual
JENNA O'DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 N HIGH ST, FRANKLIN, VA 23851-1244
(516) 398-6219
Mailing address
1401 N HIGH ST, FRANKLIN, VA 23851-1244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000040
VA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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