Individual
AMANDA WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2250
(843) 777-2051
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2250
(843) 777-2051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4311
SC
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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