Individual
MS. SANDRA SUE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA; CCC-SLP
Contact information
Practice address
455 TANYARD TRCE, PROSPERITY, SC 29127-7189
(803) 226-8788
Mailing address
455 TANYARD TRCE, PROSPERITY, SC 29127-7189
(803) 226-8788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3398
SC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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