Individual
MELISSA VAGTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
120C SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 216-0290
(843) 216-2445
Mailing address
PO BOX 1753, MT PLEASANT, SC 29465-1753
(843) 216-0290
(843) 216-2445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3094
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0494
—
SC
Enumeration date
08/20/2006
Last updated
08/10/2009
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