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Individual

MRS. JESSICA SUE TURNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
4058 EXPLORATION RD, LADSON, SC 29456-3462
(716) 548-1072
Mailing address
4058 EXPLORATION RD, LADSON, SC 29456-3462
(716) 548-1072

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7248
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7248
SC LABOR LICENSING REGULATION
SC
Enumeration date
08/24/2020
Last updated
08/24/2020
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