Individual
ANDREA L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
2911 IRENE BRIDGE HWY, HICKORY GROVE, SC 29717-8776
(704) 299-2035
Mailing address
2911 IRENE BRIDGE HWY, HICKORY GROVE, SC 29717-8776
(704) 299-2035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146009549
IL
235Z00000X
Speech-Language Pathologist
Primary
8234
NC
235Z00000X
Speech-Language Pathologist
922
HI
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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