Individual
SALLIE KATHERINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RIVER BOTTOM RD, IRMO, SC 29063-8630
(803) 476-4100
Mailing address
1 RIVER BOTTOM RD, IRMO, SC 29063-8630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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