Individual
MICHELLE PENDARVIS JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
7900 BROAD RIVER RD, IRMO, SC 29063-2355
(803) 476-3900
(803) 476-3920
Mailing address
7900 BROAD RIVER RD, IRMO, SC 29063-2355
(803) 476-3900
(803) 476-3920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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