Individual
JESSICA ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
950 E BOGARD RD STE 228, WASILLA, AK 99654-7185
(907) 376-8938
Mailing address
950 E BOGARD RD STE 228, WASILLA, AK 99654-7185
(907) 376-8938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
124679
AK
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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