Most Relevant Information
Provider Data
| NPI Number: | 1003478041 |
| Provider Name: | RAVEN JAMAY DUPREE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 6571 |
Most Important Dates
| Enumeration Date: | 06/30/2019 |
| Last Updated: | 08/26/2024 |
Provider Practice Location
1318 N MAIN ST # 1246
SUMMERVILLE
SC
294837308
Practice Location Phone/Fax
| Phone: | 8035666746 |
| Fax: |
Provider Mailing Location
1318 N MAIN ST # 1246
SUMMERVILLE
SC
294837308
Provider Mailing Phone/Fax
| Phone: | 8035666746 |
| Fax: |