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Individual

ALEXIS DEAN PEDIGO MAYBIN

Active
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Individual

ALEXIS DEAN PEDIGO MAYBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSP, CCC-SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5841
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14099378
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
5841
SC LLR BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
SC
Enumeration date
06/13/2017
Last updated
11/01/2024
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