Individual
MS. STEPHANIE ELAINE SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
Mailing address
782 E BUTLER RD, APT. .807, MAULDIN, SC 29662-3247
(864) 289-9593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3703
SC
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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