Individual
SARA DIBIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 782-2000
Mailing address
503 N COMMODORE WAY, SUMMERVILLE, SC 29483-9045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.7528
SC
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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