Individual
MRS. LORI J HAGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
3221 PLUM CIRCLE, ORANGEBURG, SC 29118
(803) 536-4922
Mailing address
3221 PLUM CIRCLE, ORANGEBURG, SC 29118
(803) 536-4922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3546
SC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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