Individual
JENNIFER JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 E ARLINGTON BLVD STE A, GREENVILLE, NC 27858-7850
(252) 758-7048
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3717
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8147
NC
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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