Individual
CAROLINE RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3100 CARNER AVENUE, CHARLESTON, SC 29405
(619) 246-5914
Mailing address
3100 CARNER AVE, CHARLESTON, SC 29405
(619) 246-5914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6434
SC
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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