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1417441833
JARED SCOTT BALLARD
MYRTLE BEACH, SC
NPI
1417441833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: SC 6557)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
JARED SCOTT BALLARD CF-SLP
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Phone number: 843-492-0543
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Mailing Address
JARED SCOTT BALLARD CF-SLP
111 VILLAGE CENTER BLVD UNIT 2115
MYRTLE BEACH, SC 29579-6718
Phone number: 304-838-4911
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