Individual
JACLYN YENTER SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363
Mailing address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007247
VA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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