Individual
COURTNEY SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
203 S MCALLISTER ST, HEMINGWAY, SC 29554-6605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NOT APPLICABLE
—
Enumeration date
09/17/2019
Last updated
09/17/2019
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