Individual
RAEGAN CAROLINE MCINNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E DR HICKS BLVD, FLORENCE, AL 35630-5762
(256) 767-1576
(256) 767-1577
Mailing address
300 MADISON AVE, MUSCLE SHOALS, AL 35661-1675
(256) 702-0779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4866
AL
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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