Individual
DR. TEDRO RAMONE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2828 LAKESIDE ST, ORANGEBURG, SC 29118-1818
(803) 997-0154
Mailing address
2828 LAKESIDE ST, ORANGEBURG, SC 29118-1818
(803) 997-0154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3578
SC
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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