TRACI SPARKS JERMYN

WINSTON SALEM, NC
NPI1215092895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  5584)
Enumeration Date2006-12-26
Last Update Date2009-05-11
Business Address
-- TRACI SPARKS JERMYN SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
Mailing Address
-- TRACI SPARKS JERMYN SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
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