Individual
ELISA JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Mailing address
80 BLUE RIDGE TRCE, HENDERSONVILLE, TN 37075-2664
(770) 689-7332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000005146
TN
235Z00000X
Speech-Language Pathologist
109982
MO
235Z00000X
Speech-Language Pathologist
SLP007405
GA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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