JENNIFER CLARK BAUCOM

GLOUCESTER, VA
NPI1386854016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202003940)
Enumeration Date2007-05-23
Last Update Date2010-07-27
Business Address
Mrs. JENNIFER CLARK BAUCOM MA, CCC-SLP
6688 MAIN ST
GLOUCESTER, VA 23061-5194
Phone number: 804-210-1555
Mailing Address
Mrs. JENNIFER CLARK BAUCOM MA, CCC-SLP
PO BOX 130
GLOUCESTER, VA 23061-0130
Phone number: 804-210-1555
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