Individual
AMANDA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8283
(843) 871-3235
Mailing address
669 EDMONDS DR, CHARLESTON, SC 29412-4540
(843) 735-8778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6131
SC
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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