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Individual

MRS. JULIE HERMAN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
18 SPRUCE STREET, YORK, SC 29745-0770
(803) 684-1905
(803) 684-1907
Mailing address
PO BOX 770, 1475 EAST LIBERTY STREET, YORK, SC 29745-0770
(803) 684-9916
(803) 684-1903

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
192294
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192294
BD. OF ED-EDUCATOR CERTIFICATE
SC
Enumeration date
08/21/2013
Last updated
08/21/2013
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