Individual
SARAH CHRISTINA MALLARD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 S ISLAND RD, GEORGETOWN, SC 29440-4415
(843) 546-4123
Mailing address
67 RYBOLT RD, PAWLEYS ISLAND, SC 29585-7814
(126) 901-0709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5136
SC
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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