Individual
AMANDA KERRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5175 SUNSET BLVD, SUITE M, LEXINGTON, SC 29072-7319
(803) 586-1016
Mailing address
20 HOLIDAY CIR, COLUMBIA, SC 29206-1020
(908) 433-4644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5699
SC
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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