Individual
ELLIE CAROLINE VAN SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8028
SC
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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