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Individual

HEIDI BOZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4201 CAROLINA EXCHANGE DR STE 102, MYRTLE BEACH, SC 29579-4221
(843) 455-7505
Mailing address
4201 CAROLINA EXCHANGE DR STE 102, MYRTLE BEACH, SC 29579-4221

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3884
SC

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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