Individual
MRS. RENEE ANNE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1150 HUNGRYNECK BLVD, SUITE C-364, MT PLEASANT, SC 29464-3484
(843) 388-9990
Mailing address
1850 ASHLEY CROSSING LN, APT 23F, CHARLESTON, SC 29414-5711
(315) 525-9374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4209
SC
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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