Individual
MRS. MARIE MAHONEY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
5534 SYLVAN DR, COLUMBIA, SC 29206-1408
(803) 787-2400
Mailing address
5534 SYLVAN DR, COLUMBIA, SC 29206-1408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3491
SC
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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