Individual
MIA HAYNES MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
9 TWEED CT, COLUMBIA, SC 29223-5117
(803) 477-5522
(803) 736-8491
Mailing address
9 TWEED CT, COLUMBIA, SC 29223-5117
(803) 477-5522
(803) 736-8491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3987
SC
235Z00000X
Speech-Language Pathologist
4880
NC
Other
Enumeration date
03/28/2007
Last updated
08/22/2023
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