Individual
JASMIN WILETTA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
170 CARN ST, SAINT GEORGE, SC 29477-5914
(843) 560-8540
Mailing address
170 CARN ST, SAINT GEORGE, SC 29477-5914
(843) 560-8540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6391
SC
Other
Enumeration date
02/10/2023
Last updated
04/17/2026
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