Individual
SUSAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4761 HIGHWAY 501 STE 1, MYRTLE BEACH, SC 29579-9457
(843) 455-7505
Mailing address
323 SWEETGUM DR, PAWLEYS ISLAND, SC 29585-8100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
505
SC
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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