Individual
JACAL DIANNA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 SPRINGWAY DR, COLUMBIA, SC 29209-5733
(843) 476-1909
Mailing address
77 SPRINGWAY DR, COLUMBIA, SC 29209-5733
(843) 476-1909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8598
SC
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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