Individual
MRS. SUSANNA TINGLE JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 FERRY RD, FREDERICKSBURG, VA 22405-2807
(540) 371-3467
(540) 371-4626
Mailing address
233 FERRY RD, FREDERICKSBURG, VA 22405-2807
(540) 371-3467
(540) 371-4626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000858
VA
Other
Enumeration date
12/22/2012
Last updated
12/22/2012
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