Individual
REBECCA ANNE SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 N MAIN ST # 1246, SUMMERVILLE, SC 29483-7308
(803) 566-6746
Mailing address
511 W LIONEL RD, MONCKS CORNER, SC 29461-8928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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