Individual
KANAH CIERRA SCOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1736 MAXWELL ST, ORANGEBURG, SC 29115-5118
(803) 837-3703
Mailing address
1736 MAXWELL ST, ORANGEBURG, SC 29115-5118
(803) 837-3703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8005
SC
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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