Individual
WHITNEY JAI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
122 BROAD ST, BENNETTSVILLE, SC 29512-4002
(843) 862-9582
Mailing address
1558 IVANS LN, BENNETTSVILLE, SC 29512-7636
(843) 862-9582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5754
SC
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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