JORDAN MARY AMANDA CANNON

WINSTON SALEM, NC
NPI1134528359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
Enumeration Date2014-08-14
Last Update Date2015-10-26
Business Address
JORDAN MARY AMANDA CANNON MSP CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
Mailing Address
JORDAN MARY AMANDA CANNON MSP CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222