Individual
ELLIE MALIA WATT SCHANBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 WADE HAMPTON BLVD, GREENVILLE, SC 29609-5047
(864) 659-0604
Mailing address
130 SADDLEOAK LN, GREENVILLE, SC 29607-4944
(425) 786-3767
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP61222480
WA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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