Individual
MRS. JULIA GORDON TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(800) 465-3203
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(800) 465-3203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2685
SC
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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