Individual
MRS. WOODRENA CHERISE SEGRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
211 SHERWOOD ST, KINGSTREE, SC 29556-7541
(843) 382-5373
(843) 382-9246
Mailing address
211 SHERWOOD ST, KINGSTREE, SC 29556-7541
(843) 382-5373
(843) 382-9246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3627
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053562512
—
SC
Enumeration date
10/02/2008
Last updated
02/23/2010
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