Jill Bain Wine, M.A., CCC-SLP
NPI #1881059624 in King George, Virginia
Provider Information
- NPI Number
- 1881059624
- Entity Type
- Individual
- Name
- Jill Bain Wine, M.A., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP
- Enumeration Date
- Dec 21, 2015
- Last Updated
- Jul 14, 2018
Practice Location
- Address
- 5254 POTOMAC DR STE A
- City
- King George
- State
- Virginia
- ZIP Code
- 22485
- Phone
- (540) 850-3940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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