Individual
MRS. CRYSTAL JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2330 JULIE ANN DR, FLORENCE, SC 29505-6361
(843) 665-1870
Mailing address
200 WILDWOOD DR, FLORENCE, SC 29506-7236
(843) 260-2404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3955
SC
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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