Individual
KATIE LEDFORD RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 PATRIOT LN, EDGEMOOR, SC 29712-8704
(803) 367-6109
Mailing address
3310 BRUSHY MOUNTAIN ST, CARY, NC 27519-7234
(803) 493-7917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7405
SC
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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