Individual
ANTOINETTE DOMINIQUE PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9325 BLUE HOUSE RD APT 11105, LADSON, SC 29456-4230
(803) 873-2243
Mailing address
9325 BLUE HOUSE RD APT 11105, LADSON, SC 29456-4230
(803) 873-2243
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4382
SC
Other
Enumeration date
07/18/2019
Last updated
10/13/2019
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