Individual
MRS. JANA D. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P. , CCC-SLP
Contact information
Practice address
296 LIME KILN RD, ORANGEBURG, SC 29118-8800
(803) 535-0129
Mailing address
296 LIME KILN RD, ORANGEBURG, SC 29118-8800
(803) 535-0129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3767
SC
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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