Individual
ANDREW ELIOT JENNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
201 BOOTH ST, ELKTON, MD 21921-5618
(410) 996-5450
Mailing address
615 NORTH ST, ELKTON, MD 21921-5611
(410) 996-5010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08254
MD
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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