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Individual

MISS DEBRA L PENLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSP;CCC-SLP

Contact information

Practice address
131 CHARLES B GIBSON BLVD, GOOSE CREEK, SC 29445-4559
(843) 797-2620
Mailing address
229 E MAIN ST, MONCKS CORNER, SC 29461-3767

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
316
SC

Other

Enumeration date
11/30/2017
Last updated
11/30/2017
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