Individual
JORDAN DRISKILL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5501 CONDUIT RD, COLONIAL HEIGHTS, VA 23834-2121
(804) 524-3440
Mailing address
100 HERON RUN DR, COLONIAL HEIGHTS, VA 23834-2188
(804) 691-3786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007534
VA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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