Individual
KATHERINE EISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
381 S WHEELER AVE, PROSPERITY, SC 29127-9346
(803) 364-2321
Mailing address
381 S WHEELER AVE, PROSPERITY, SC 29127-9346
(301) 580-3168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6779
SC
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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