Individual
JENNA LEE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-6173
Mailing address
262 E QUEEN ST APT 1, CHAMBERSBURG, PA 17201-2268
(856) 885-3808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS01050400
NJ
235Z00000X
Speech-Language Pathologist
PSL001041
PA
235Z00000X
Speech-Language Pathologist
Primary
SL015394
PA
Other
Enumeration date
07/12/2019
Last updated
04/22/2021
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