Individual
MS. DONNA JENKINS-FAKOLUJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
100 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3404
(215) 951-4701
Mailing address
100 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3404
(215) 951-4701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008790
PA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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