Individual
MRS. ELIZABETH SUMMERS FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1710B RICHLAND ST, COLUMBIA, SC 29201-2636
(803) 253-6223
(803) 253-6224
Mailing address
1710B RICHLAND ST, COLUMBIA, SC 29201-2636
(803) 253-6223
(803) 253-6224
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3751
SC
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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