Individual
MRS. ANETRA BEAUFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CFY-SLP
Contact information
Practice address
2035 MIDDLETON ST, ORANGEBURG, SC 29115-4694
(803) 378-2938
Mailing address
2035 MIDDLETON ST, ORANGEBURG, SC 29115-4694
(803) 378-2938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4384
SC
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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