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Individual

JENNY MCKINNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
815 E BUTLER RD APT 527, GREENVILLE, SC 29607-5880
(828) 294-0180
Mailing address
815 E BUTLER RD APT 527, GREENVILLE, SC 29607-5880

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5133
SC

Other

Enumeration date
10/04/2012
Last updated
10/04/2012
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