Individual
MRS. ALICIA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
408 S 16TH AVE, DILLON, SC 29536-4332
(843) 774-7128
(843) 774-5205
Mailing address
408 S 16TH AVE, DILLON, SC 29536-4332
(843) 774-7128
(843) 774-5205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2991
SC
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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