Individual
MRS. DENA LEONARD JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
811 WOTAN RD, COLUMBIA, SC 29229-6506
(803) 419-2743
Mailing address
811 WOTAN RD, COLUMBIA, SC 29229-6506
(803) 419-2743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2155
SC
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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