Individual
MRS. MARY ANN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP/CCC-SLP
Contact information
Practice address
1705 SEAY CT, COLUMBIA, SC 29206-3117
(803) 414-8078
(803) 790-4340
Mailing address
1705 SEAY CT, COLUMBIA, SC 29206-3117
(803) 414-8078
(803) 790-4340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4187
SC
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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