Individual
SANDRA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPES
Contact information
Practice address
205 KING ST, LATTA, SC 29565-1401
(843) 752-7101
Mailing address
1086 JUDGE RD, DILLON, SC 29536-8229
(843) 774-1854
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4597
SC
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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