Individual
MARVA B CANNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
372 NEXSEN RD, KINGSTREE, SC 29556-5138
(843) 282-8779
Mailing address
372 NEXSEN RD, KINGSTREE, SC 29556-5138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3089
SC
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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