Individual
MELISSA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED, CCC-SLP
Contact information
Practice address
1503 JOSIE LN APT 405, FORT MILL, SC 29708-0220
(978) 685-6321
Mailing address
1503 JOSIE LN APT 405, FORT MILL, SC 29708-0220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11458
NC
235Z00000X
Speech-Language Pathologist
Primary
77407
MA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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