MRS. Jennifer Clark Baucom, MA, CCC-SLP
NPI #1386854016 in Gloucester, Virginia
Provider Information
- NPI Number
- 1386854016
- Entity Type
- Individual
- Name
- MRS. Jennifer Clark Baucom, MA, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA, CCC-SLP
- Enumeration Date
- May 23, 2007
- Last Updated
- Jul 27, 2010
Practice Location
- Address
- 6688 MAIN ST
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5194
- Phone
- (804) 210-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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