Individual
JADE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
126 MILL LN, SALEM, VA 24153-3102
(540) 387-4311
Mailing address
126 MILL LN, SALEM, VA 24153-3102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011133
VA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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