Individual
JALEESE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 479-1758
Mailing address
420 N CROSSING DR, COLUMBIA, SC 29229-8721
(843) 598-6863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7738
SC
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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