Individual
MRS. GWENDOLYN BARTON BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., B.S.
Contact information
Practice address
410 E BUTLER RD, MAULDIN, SC 29662-3250
(864) 569-1599
Mailing address
1 HUSHPAH CT, SIMPSONVILLE, SC 29680-7382
(864) 569-1599
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4870
SC
Other
Enumeration date
05/22/2011
Last updated
05/22/2011
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