Individual
NANETTE F AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 MAPLE BRANCH RD, REEVESVILLE, SC 29471-5012
(843) 563-5407
Mailing address
519 MAPLE BRANCH RD, REEVESVILLE, SC 29471-5012
(843) 563-5407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4690
SC
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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