Individual
MISS FAREIGN KIRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
Mailing address
12207 YELLOW JASMINE DR, SIMPSONVILLE, SC 29681-3278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4531
SC
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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