Individual
ANDREA KITTYE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LUCY P EDWARDS RD, WOODRUFF, SC 29388-8220
(864) 476-3174
Mailing address
200 LUCY P EDWARDS RD, WOODRUFF, SC 29388-8220
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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