Individual
KYLEE RAE JURICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
108 BELFAIR RD, IRMO, SC 29063-8040
(803) 629-1981
(803) 825-4830
Mailing address
108 BELFAIR RD, IRMO, SC 29063-8040
(954) 263-6526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7665
SC
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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