Individual
MRS. ELIZABETH SMITH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
940 EQUESTRIAN DR, MT PLEASANT, SC 29464-3608
(803) 622-6505
Mailing address
940 EQUESTRIAN DR, MT PLEASANT, SC 29464-3608
(803) 622-6505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3856
SC
Other
Enumeration date
05/02/2007
Last updated
11/28/2011
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