Individual
MRS. JENNIFER CHRISTINE KUDSIN PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M, CCC-SLP
Contact information
Practice address
8703 HIGHWAY 17 BYP S STE I, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
Mailing address
2210 PUTNAM DR UNIT 128, MYRTLE BEACH, SC 29577-1742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4918
SC
Other
Enumeration date
08/24/2011
Last updated
02/01/2013
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