Individual
MELANIE LORRAINE JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
703 RAMSGATE DR, SPARTANBURG, SC 29301-5951
(803) 269-5424
Mailing address
703 RAMSGATE DR, SPARTANBURG, SC 29301-5951
(803) 269-5424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6814
SC
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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