Individual
KELLY ANNE MCSTRAVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9456 CHARLOTTE HWY STE 106, INDIAN LAND, SC 29707-7953
(215) 801-2309
Mailing address
4494 HADDINGTON DR, INDIAN LAND, SC 29707-2505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7176
SC
235Z00000X
Speech-Language Pathologist
9733
NC
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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