Individual
JENNIFER BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
127 MAIN STREET WEST, VALDESE, NC 28690
(282) 368-0729
(828) 368-0688
Mailing address
229 TAYLOR CIR, GRANITE FALLS, NC 28630-9366
(828) 334-6800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1703068
NC
Other
Enumeration date
07/14/2016
Last updated
04/25/2017
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