Individual
JILLIAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-LSLP
Contact information
Practice address
4501 OLD SPARTANBURG RD, TAYLORS, SC 29687-4105
(864) 292-5154
Mailing address
4501 OLD SPARTANBURG RD, TAYLORS, SC 29687-4105
(864) 292-5154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6418
SC
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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