Individual
MS. MANDY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
2050 PINE LOG RD, AIKEN, SC 29803-5731
(803) 641-2740
Mailing address
120 ALPINE DR, AIKEN, SC 29803-9712
(904) 248-1167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
250607
SC
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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