Individual
MRS. REBECCA DEARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
902 LONGKEEP LN, APT 204, DANIEL ISLAND, SC 29492-6315
(678) 522-1300
Mailing address
902 LONGKEEP LN, APT 204, DANIEL ISLAND, SC 29492-6315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5393
SC
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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