Individual
MARLEY CHRISLEY COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SPRING TYME PL, LEXINGTON, SC 29073-7288
(803) 569-8913
Mailing address
320 SPRING TYME PL, LEXINGTON, SC 29073-7288
(803) 569-8913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5668
SC
Other
Enumeration date
06/14/2022
Last updated
05/06/2025
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