Individual
MRS. RACHAEL ANNE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
108 BELFAIR RD, IRMO, SC 29063-8040
(803) 629-1981
Mailing address
PO BOX 4107, IRMO, SC 29063-4027
(803) 629-1981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14055867
SC
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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