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Individual

JANINE ELL

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
604 LORNA ST, CHARLOTTE, NC 28205-6139
(631) 355-0224
Mailing address
604 LORNA ST, CHARLOTTE, NC 28205-6139
(631) 355-0224

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019174-1
NY
235Z00000X
Speech-Language Pathologist
10587
NC

Other

Enumeration date
11/07/2009
Last updated
07/01/2014
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