Individual
ICELYNN COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
(843) 226-0771
Mailing address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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