Individual
LACY HARSEY MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
259 RIVER RIDGE WAY, SWANSEA, SC 29160-8287
(803) 622-4482
Mailing address
113 POWER POINT LN, LEXINGTON, SC 29072-7662
(803) 206-5530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5430
SC
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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