Individual
MRS. KELLEY CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
121 SHOAL CREEK CIR, LEXINGTON, SC 29072-7263
(803) 354-2195
Mailing address
121 SHOAL CREEK CIR, LEXINGTON, SC 29072-7263
(803) 354-2195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4876
SC
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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