Individual
MS. JILL ELIZABETH DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2405 HUMMINGBIRD LN, SUMMERVILLE, SC 29483-9760
(419) 283-7467
Mailing address
2405 HUMMINGBIRD LN, SUMMERVILLE, SC 29483-9760
(419) 283-7467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5651
SC
Other
Enumeration date
07/24/2007
Last updated
01/22/2015
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