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Individual

MRS. JENNIFER WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
767 HOLDER RD, BATESBURG, SC 29006-9424
(803) 564-1000
Mailing address
767 HOLDER RD, BATESBURG, SC 29006-9424
(803) 564-1000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3623
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3623
SC LISCENSE
SC
Enumeration date
12/09/2013
Last updated
12/09/2013
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