Individual
ANATOLY SABILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6484
Mailing address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4831
SC
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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