Individual
MRS. CYNTHIA MARIE FUNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 INTERNATIONAL DR, MYRTLE BEACH, SC 29579-3488
(843) 903-8400
Mailing address
335 FOUR MILE RD, CONWAY, SC 29526-4506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2806
SC
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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