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1073003133
JILL STAFFENBERG
RICHMOND, VA
NPI
1073003133
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Former Name
JILL GROSSMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202008842)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
JILL STAFFENBERG MS, CCC-SLP
3820 NINE MILE RD
RICHMOND, VA 23223-4831
Phone number: 727-460-2502
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Mailing Address
JILL STAFFENBERG MS, CCC-SLP
10993 OPACA LN
GLEN ALLEN, VA 23059-5616
Phone number: 727-460-2502
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