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Individual

DR. BIANCA JARDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1050 JOHNNIE DODDS BLVD., # 2381, MOUNT PLEASANT, SC 29465-2381
(812) 401-0941
(843) 480-9579
Mailing address
1050 JOHNNIE DODDS BLVD., # 2381, MOUNT PLEASANT, SC 29465-2381
(812) 401-0941
(843) 480-9579

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1285
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS0540
SC
Enumeration date
11/18/2013
Last updated
08/01/2024
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