Individual
JENNIFER MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 HERON OAKS LOOP UNIT 8108, LITTLE RIVER, SC 29566-8787
(304) 544-7397
Mailing address
97 RANDOLPH DR, NEW CUMBERLAND, WV 26047-3186
(304) 544-7397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120072
TX
235Z00000X
Speech-Language Pathologist
Primary
7277
SC
235Z00000X
Speech-Language Pathologist
LL61220563
WA
235Z00000X
Speech-Language Pathologist
SLP-2106
WV
235Z00000X
Speech-Language Pathologist
SLP011637
GA
Other
Enumeration date
07/06/2021
Last updated
06/20/2023
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