Individual
MRS. CHARLISE YVETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D, CCC-SLP
Contact information
Practice address
916 BEVERLY DR, SPARTANBURG, SC 29303-2506
(864) 573-9650
Mailing address
916 BEVERLY DR, SPARTANBURG, SC 29303-2506
(864) 573-9650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5175
SC
Other
Enumeration date
03/12/2014
Last updated
03/28/2014
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