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Individual

LISA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSP

Contact information

Practice address
721 WAPPOO RD DEPT OF, CHARLESTON, SC 29407-5861
(843) 402-7867
Mailing address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
(843) 402-7867

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8160
SC
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/31/2022
Last updated
08/31/2022
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