Individual
JILLIAN MICHELLE RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3817 FRANKLIN MEADOWS DR, MATTHEWS, NC 28105-6930
(352) 514-4157
Mailing address
3817 FRANKLIN MEADOWS DR, MATTHEWS, NC 28105-6930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30001416
NC
235Z00000X
Speech-Language Pathologist
SA17279
FL
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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