Individual
MS. CORRIE LEIGH KENNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
441 LANCASTER FARM RD, ROEBUCK, SC 29376-3727
(864) 205-1410
Mailing address
254 FISHER LAKE RD, LYMAN, SC 29365-9244
(864) 439-1436
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4167
SC
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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