Individual
MRS. SHANNON PATRICK WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
914 BYPASS 123, SENECA, SC 29678
(864) 885-1981
Mailing address
914 BYPASS 123, SENECA, SC 29678
(864) 885-1981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5122
SC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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