Individual
MRS. LISA DOBSON JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
9405 HIGHWAY 17 BY-PASS, MURRELLS INLET, SC 29576
(843) 650-2213
(843) 650-2236
Mailing address
313 CLOVERBROOK CIR, CONWAY, SC 29526-5361
(843) 365-7298
(843) 650-2236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3598
SC
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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