Individual
MRS. JONNA MEGAN BLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
134 LATIMER ST, LATTA, SC 29565-1828
(843) 752-2711
Mailing address
134 LATIMER ST, LATTA, SC 29565-1828
(843) 752-2711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3916
SC
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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