Individual
MRS. LORETTA DENISE JONES-BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
708 FAIRWAY LN, COLUMBIA, SC 29210-5715
(803) 798-2892
Mailing address
708 FAIRWAY LN, COLUMBIA, SC 29210-5715
(803) 798-2892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO637
—
SC
Enumeration date
03/01/2006
Last updated
08/21/2008
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