Individual
JESSICA DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WAKE ROBIN DR, SHELBURNE, VT 05482-7569
(802) 264-5140
Mailing address
200 WAKE ROBIN DR, SHELBURNE, VT 05482-7569
(802) 264-5140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VT
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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