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Organization
COMMUNI-PRO,LLC
Active
Organization
COMMUNI-PRO,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DAVIS (SPEECH PATHOLOGIST)
(803) 856-9851
Entity
Organization
Contact information
Practice address
446 MANVILLE WISACKY RD, BISHOPVILLE, SC 29010-8329
(803) 856-9851
Mailing address
446 MANVILLE WISACKY RD, BISHOPVILLE, SC 29010-8329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1810
—
SC
Enumeration date
01/11/2022
Last updated
01/11/2022
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