Individual
STEVONNA MCKENZIE JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 BELLA GRACE CT, BOILING SPRINGS, SC 29316-8801
(864) 494-0817
Mailing address
1443 BELLA GRACE CT, BOILING SPRINGS, SC 29316-8801
(864) 494-0817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7255
SC
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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