Individual
JESSICA CECCO BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3022 S CROATAN HWY, NAGS HEAD, NC 27959-9029
(252) 255-0243
Mailing address
3022 S CROATAN HWY, NAGS HEAD, NC 27959-9029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008553
VA
Other
Enumeration date
05/31/2017
Last updated
09/24/2021
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