JESSICA E PROVOST

APEX, NC
NPI1326242652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NC  7545)
Enumeration Date2007-06-12
Last Update Date2009-08-06
Business Address
-- JESSICA E PROVOST M.S. CCC-SLP
6033 LARBOARD DR.
APEX, NC 27539-4115
Phone number: 919-329-7733
Mailing Address
-- JESSICA E PROVOST M.S. CCC-SLP
6033 LARBOARD DR.
APEX, NC 27539-4115
Phone number: 919-329-7733
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