Individual
MS. KATE WALLACE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLO
Contact information
Practice address
169 ASHLEY AVE, MSC 335, CHARLESTON, SC 29425-8905
(843) 876-7200
(843) 727-6401
Mailing address
169 ASHLEY AVE, MSC 335, CHARLESTON, SC 29425-8905
(843) 876-7200
(843) 727-6401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4688
SC
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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