Individual
MRS. JAN G. MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
364 2ND ST, BAMBERG, SC 29003-1726
(803) 245-0508
Mailing address
364 2ND ST, BAMBERG, SC 29003-1726
(803) 245-0508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3589
SC
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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