Individual
ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-5385
(803) 648-8344
Mailing address
690 MEDICAL PARK DR, AIKEN, SC 29801-5385
(803) 648-8344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3046
SC
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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