Individual
ERICA MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 490-0960
(866) 464-4298
Mailing address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 490-0960
(866) 464-4298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5366
SC
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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