Individual
NICOL GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CLINTON AVE, CLOVER, SC 29710-1627
(803) 631-8200
(803) 222-8066
Mailing address
300 CLINTON AVE, CLOVER, SC 29710-1627
(803) 631-8200
(803) 222-8066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4243
SC
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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