Individual
MS. DANIELLE MARIE PROL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(845) 902-0774
Mailing address
200 N SHORE DR, APT 704, MYRTLE BEACH, SC 29579-4409
(845) 902-0774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5094
SC
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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