Individual
MS. GENA C RANDOLPH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1150 HUNGRYNECK BLVD, SUITE C-364, MOUNT PLEASANT, SC 29464-3484
(843) 388-9990
(843) 388-0349
Mailing address
1150 HUNGRYNECK BLVD, SUITE C-364, MOUNT PLEASANT, SC 29464-3484
(843) 388-9990
(843) 388-0349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3120
SC
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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