JACK GORDON SCHULTZ

CAYCE, SC
NPI1265604185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  4182)
Enumeration Date2008-03-31
Last Update Date2008-03-31
Business Address
Mr. JACK GORDON SCHULTZ M.S.P
1006 INDIGO AVE
CAYCE, SC 29033-3210
Phone number: 803-586-5280
Mailing Address
Mr. JACK GORDON SCHULTZ M.S.P
1006 INDIGO AVE
CAYCE, SC 29033-3210
Phone number: 803-586-5280
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