Individual
JENAH H HARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Mailing address
20 ALLEN POINT RD, HARPSWELL, ME 04079-3055
(508) 221-2947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2867
ME
Other
Enumeration date
10/02/2018
Last updated
01/30/2025
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