Individual
TRACY MAKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP-CCC-SLP
Contact information
Practice address
698 HOWARD ST, SPARTANBURG, SC 29303-2964
(864) 596-8491
Mailing address
698 HOWARD ST, SPARTANBURG, SC 29303-2964
(864) 596-8491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2789
SC
Other
Enumeration date
01/08/2013
Last updated
01/16/2013
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