Individual
MICHELLE HEATH WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
109A VISTA OAKS DR, LEXINGTON, SC 29072-8230
(803) 356-9833
Mailing address
109A VISTA OAKS DR, LEXINGTON, SC 29072-8230
(803) 356-9833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5006
SC
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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