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Individual

ALLISON LYNNE SELK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCD, CCC-SLP

Contact information

Practice address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
(888) 510-9156
Mailing address
3851 COMMERCIAL CENTER DR, LADSON, SC 29456-4146
(843) 314-5434
(888) 510-9156

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4522
SC
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SA1346
SC
Enumeration date
11/15/2012
Last updated
11/10/2022
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