Individual
MRS. HEATHER MUTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5887
SC
Other
Enumeration date
10/28/2015
Last updated
11/01/2023
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