Individual
JENNA CAMPALONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 N COURT, NEW CUMBERLAND, WV 26047-9602
(304) 231-3820
Mailing address
30 G C AND P RD, WHEELING, WV 26003-6129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1623
WV
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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