Individual
MRS. KAWANNA S FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2291 RED OAK RD, BARNWELL, SC 29812-7809
(803) 259-3780
Mailing address
2291 RED OAK RD, PO BOX 1824, BARNWELL, SC 29812-7809
(803) 259-3780
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5264
SC
Other
Enumeration date
06/21/2013
Last updated
06/28/2013
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