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Organization
LAKE MURRAY SPEECH PATHOLOGY LLC
Active
Organization
LAKE MURRAY SPEECH PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KRUIDENIER MCD, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(803) 586-1447
Entity
Organization
Contact information
Practice address
111 HAYWAIN DR, CHAPIN, SC 29036-8204
(803) 586-1447
Mailing address
111 HAYWAIN DR, CHAPIN, SC 29036-8204
(803) 586-1447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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