Individual
JENNIFER CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
604 SOUTH ST, AVOCA, PA 18641
(570) 451-0844
Mailing address
604 SOUTH ST, AVOCA, PA 18641-1540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL003136L
PA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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