Individual
CAROL A CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
(864) 331-1416
Mailing address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
(864) 331-1416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4494
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4494
STATE LICENSE
SC
Enumeration date
07/01/2009
Last updated
07/01/2009
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