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Individual

MRS. AMANDA LIPSCOMB CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSP-CCC SLP

Contact information

Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
(864) 595-4821
Mailing address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
(864) 595-4821

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4228
SC

Other

Enumeration date
11/12/2007
Last updated
11/12/2007
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