Individual
MILDRED M JODAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
319 GARLINGTON RD STE B5, GREENVILLE, SC 29615-4621
(864) 417-8423
Mailing address
24 HENDERSON AVE, GREENVILLE, SC 29605-1621
(864) 477-0272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6665
SC
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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