Individual
MADISON ELIZABETH PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
52 9TH AVE, BLUFFTON, SC 29910-7670
(302) 584-4740
Mailing address
52 9TH AVE, BLUFFTON, SC 29910-7670
(302) 584-4740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7268
SC
Other
Enumeration date
03/15/2021
Last updated
11/10/2021
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