Individual
JENNIFER G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
342 CROSS ST, CHARLESTON, SC 29407-6905
(843) 763-8699
Mailing address
342 CROSS ST, CHARLESTON, SC 29407-6905
(843) 763-8699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3961
SC
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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