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Individual

DESTINEE SORRELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
412 BUTTONBUSH CT, COLUMBIA, SC 29229-8199
(843) 229-5967
Mailing address
412 BUTTONBUSH CT, COLUMBIA, SC 29229-8199
(843) 229-5967

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SC

Other

Enumeration date
05/31/2025
Last updated
06/12/2025
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