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Individual

JENNIFER PLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
594 PINECROFT DR, CLAYTON, NC 27520-6920
(703) 475-7478
Mailing address
594 PINECROFT DR, CLAYTON, NC 27520-6920
(703) 475-7478

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202004420
VA
235Z00000X
Speech-Language Pathologist
Primary
7971
NC
235Z00000X
Speech-Language Pathologist
SP 16149
CA

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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