Individual
MACKENZIE CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 S MAIN ST, SUMMERVILLE, SC 29483-5913
(843) 873-2901
Mailing address
403 FAIRINGTON DR, SUMMERVILLE, SC 29485-8617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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