Individual
MISS JESSICA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5778
SC
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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