Individual
MS. MARY VANBUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP/CCC
Contact information
Practice address
1135 BOWMAN RD, MT PLEASANT, SC 29464-3205
(843) 388-4048
Mailing address
1135 BOWMAN RD, MT PLEASANT, SC 29464-3205
(843) 388-4048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5825
SC
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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