Individual
OPAL ANNA FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, M.A.-CCC
Contact information
Practice address
225 COFFEE RD, WALHALLA, SC 29691-1777
(864) 886-4470
(864) 886-4471
Mailing address
414 S PINE ST, WALHALLA, SC 29691-2146
(864) 886-4400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6335
SC
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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