Individual
MRS. ANA NAZARIO RAGUSEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
500 CONGRESSIONAL BLVD, SUMMERVILLE, SC 29483-5049
(803) 546-2575
Mailing address
500 CONGRESSIONAL BLVD, SUMMERVILLE, SC 29483-5049
(803) 546-2575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
258827
SC
235Z00000X
Speech-Language Pathologist
Primary
6302
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942275649
—
SC
Enumeration date
09/24/2013
Last updated
05/28/2019
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