Individual
MELANIE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
(864) 595-4821
Mailing address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5140
SC
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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