Individual
MRS. IVA ELIZABETH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
9225 UNIVERSITY BLVD, STE D, NORTH CHARLESTON, SC 29406
(843) 569-4546
(843) 569-4535
Mailing address
PO BOX 1966, JOHNS ISLAND, SC 29457
(843) 224-9565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3860
SC
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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