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Individual

MRS. MARY GREAVES DURKEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
208 RUTLEDGE AVE APT B, CHARLESTON, SC 29403-5855
(843) 876-7200
(843) 727-6401
Mailing address
208 B RUTLEDGE AVENUE, CHARLESTON, SC 29403
(843) 876-7200
(843) 727-6401

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3422
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12042602
AHSA
SC
Enumeration date
09/20/2007
Last updated
09/14/2011
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