Individual
JACQUELINE GRIFFO BUCKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
Mailing address
1100 PRICE AVE, COLUMBIA, SC 29201-1860
(803) 487-1308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5835
SC
Other
Enumeration date
06/24/2016
Last updated
07/09/2019
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