Individual
MRS. MIRIAM LONG CARSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1400 MCMILLIAN LN, FLORENCE, SC 29506-3428
(843) 664-8457
Mailing address
1400 MCMILLIAN LN, FLORENCE, SC 29506-3428
(843) 664-8457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3162
SC
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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