Individual
MRS. MIA USSERY LOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
5 MIDGARD CT, COLUMBIA, SC 29229-6509
(803) 463-9780
Mailing address
5 MIDGARD CT, COLUMBIA, SC 29229-6509
(803) 463-9780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4185
SC
Other
Enumeration date
07/19/2009
Last updated
07/19/2009
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