Individual
RAMONA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC- SLP
Contact information
Practice address
63 PEPPERGRASS CT, ELGIN, SC 29045-8294
(803) 553-0088
Mailing address
63 PEPPERGRASS CT, ELGIN, SC 29045-8294
(803) 553-0088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3020
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0296
—
SC
Enumeration date
05/26/2008
Last updated
05/26/2008
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