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Individual

MRS. JENNIFER MICHELLE ISOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
3341 RHONEY FARM RD, VALE, NC 28168-8979
(828) 302-9639
Mailing address
3341 RHONEY FARM RD, VALE, NC 28168-8979
(828) 302-9639

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12156704
NC

Other

Enumeration date
11/18/2012
Last updated
11/18/2012
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