Individual
MS. JACQUELYN A KUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
2021 NEWPORT DR, INDIAN LAND, SC 29707-5961
(216) 650-1819
Mailing address
2021 NEWPORT DR, INDIAN LAND, SC 29707-5961
(216) 650-1819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5476
SC
235Z00000X
Speech-Language Pathologist
SP 6236
OH
Other
Enumeration date
06/21/2007
Last updated
02/09/2024
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