Individual
MADISON FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
379 OLD GREENVILLE HWY STE 101, CLEMSON, SC 29631-3156
(864) 624-0120
(864) 624-0125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8653
SC
Other
Enumeration date
02/08/2024
Last updated
03/14/2024
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