Individual
MIRANDA MAE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4003 LADSON RD, LADSON, SC 29456-4936
(843) 608-0391
Mailing address
4003 LADSON RD, LADSON, SC 29456-4936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
.8173
SC
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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