Individual
LATONYA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 CHINABERRY RD, JOHNSONVILLE, SC 29555-8111
(843) 493-3772
Mailing address
567 CHINABERRY RD, JOHNSONVILLE, SC 29555-8111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2835
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0318
—
SC
Enumeration date
12/19/2006
Last updated
07/08/2007
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