Individual
KAITLYN ASHLEY FENCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CF-SLP
Contact information
Practice address
343 PRADO WAY, GREENVILLE, SC 29607-6512
(732) 608-4098
Mailing address
343 PRADO WAY, GREENVILLE, SC 29607-6512
(864) 270-8647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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