Individual
MRS. AMY DUKE EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
940 OLD BUSH RIVER RD, CHAPIN ELEMENTARY SCHOOL, CHAPIN, SC 29036-8102
(803) 575-5968
Mailing address
940 OLD BUSH RIVER RD, CHAPIN ELEMENTARY SCHOOL, CHAPIN, SC 29036-8102
(803) 575-5968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
136919
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136919
—
SC
Enumeration date
05/23/2013
Last updated
05/23/2013
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