Individual
JAKIYA NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 WHITBY RD, IRMO, SC 29063-2426
(803) 629-4098
Mailing address
117 WHITBY RD, IRMO, SC 29063-2426
(803) 629-4098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4198
SC
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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