Jada Ennis Handwork MCD, CCC-SLP

NPI 1306044672 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1306044672
Gender Female
Enumeration Date 07/06/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3817 MARCHBANKS CIR
JONESBORO AR, 72401-8758, US
Phone (870) 933-8201
Fax
Business Location
3817 MARCHBANKS CIR
JONESBORO AR, 72401-8758, US
Phone (870) 933-8201
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arkansas
License Number 992
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According to our database, Mrs. Jada Ennis Handwork MCD, CCC-SLP NPI is 1306044672, taxonomy code is 235Z00000X and license number is 992, license state is located at Arkansas. Jada Ennis Handwork MCD, CCC-SLP physically located at 3817 Marchbanks Cir, Jonesboro AR, 72401-8758. NPI Number Jada Ennis Handwork MCD, CCC-SLP has the Individual type.

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1306044672 NPI number is provided on an as is basis without warranty of any kind. 1306044672 is maintained by the National Plan & Provider Enumeration System. The contents of Jada Ennis Handwork MCD, CCC-SLP are for informational purposes only.