Individual
MRS. PARKER JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 479-1758
(866) 464-4298
Mailing address
238 MERCHANTS DR, COLUMBIA, SC 29212-8241
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5605
SC
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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