Individual
MISS COURTNEY MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-CFY
Contact information
Practice address
1721 EBENEZER RD, SUITE 225, ROCK HILL, SC 29732-4103
(803) 329-1520
(803) 366-5027
Mailing address
1721 EBENEZER RD, SUITE 225, ROCK HILL, SC 29732-4103
(803) 329-1520
(803) 366-5027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4319
SC LICENSE
SC
Enumeration date
02/24/2009
Last updated
02/24/2009
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