Individual
MRS. JESSICA JANELLE ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2022 WEDDINGTON LAKE DR, MATTHEWS, NC 28104-8743
(704) 846-2773
Mailing address
2022 WEDDINGTON LAKE DR, MATTHEWS, NC 28104-8743
(704) 846-2773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146007741
IL
235Z00000X
Speech-Language Pathologist
Primary
8153
NC
Other
Enumeration date
04/09/2007
Last updated
10/30/2008
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