Individual
MRS. MYNITA S. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2672 BIG BUCK BLVD, BOWMAN, SC 29018-9663
(803) 539-0380
Mailing address
2672 BIG BUCK BLVD, BOWMAN, SC 29018-9663
(803) 539-0380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5265
SC
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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