Individual
JACLYN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
(302) 529-3118
Mailing address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0001772
DE
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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