Individual
LISAROSE GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC/SLP
Contact information
Practice address
23 OAKDALE PL, CHARLESTON, SC 29407-7267
(859) 582-6343
Mailing address
23 OAKDALE PL, CHARLESTON, SC 29407-7267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
300884
SC
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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