Individual
WANDA RAYE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA , CCC-SLP
Contact information
Practice address
160 E MARION ST, JOHNSONVILLE, SC 29555-6517
(843) 386-2955
Mailing address
PO BOX 563, HEMINGWAY, SC 29554-0563
(843) 933-2531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3395
SC
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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