Individual
DENTRESA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
728 HOLLY ST W, HAMPTON, SC 29924-3156
(803) 842-9731
Mailing address
728 HOLLY ST W, HAMPTON, SC 29924-3156
(803) 842-9731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4564
SC
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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