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Individual

JENNIFER HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
303 SALTRAM CT, WILMINGTON, NC 28411-9293
(910) 619-2277
(910) 319-7030
Mailing address
303 SALTRAM CT, WILMINGTON, NC 28411-9293

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7412551
NC
Enumeration date
03/26/2007
Last updated
04/28/2010
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