Individual
MRS. SHARON FLUDD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
SPEECH LANGUAGE HEARING CLINIC, SCSU - 300 COLLEGE ST NE, ORANGEBURG, SC 29117-0001
(803) 536-8589
(803) 536-8357
Mailing address
SPEECH LANGUAGE HEARING CLINIC, SCSU - 300 COLLEGE ST NE, ORANGEBURG, SC 29117-0001
(803) 536-8589
(803) 536-8357
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
388
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033288402
NPI
SC
05
—
349987
—
SC
Enumeration date
04/01/2014
Last updated
04/01/2014
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