Individual
JESSICA LYNN EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1199 HAYES FOREST DR, WINSTON SALEM, NC 27106
(336) 759-1044
Mailing address
2916 FIRETHORN DR, HIGH POINT, NC 27265-8401
(860) 798-2099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12421
NC
235Z00000X
Speech-Language Pathologist
1704281
NC
Other
Enumeration date
08/09/2016
Last updated
08/23/2018
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