Individual
MISS SHANNON MITCHELL DUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
521 CARO LANE, CHAPIN, SC 29036-7951
(864) 833-2550
Mailing address
521 CARO LN, CHAPIN, SC 29036-7951
(803) 645-4597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5075
SC
Other
Enumeration date
06/19/2012
Last updated
10/29/2015
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