Individual
MRS. CANDICE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
396 LIVINGSTON TER, ORANGEBURG, SC 29118-3220
(803) 531-4258
Mailing address
396 LIVINGSTON TER, ORANGEBURG, SC 29118-3220
(803) 531-4258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4525
SC
Other
Enumeration date
08/16/2009
Last updated
08/16/2009
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