Individual
KANISHA DENISE MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 E BUTLER RD, GREENVILLE, SC 29607-5866
(843) 230-7966
Mailing address
PO BOX 403, MAULDIN, SC 29662-0403
(843) 230-7966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6727
SC
Other
Enumeration date
05/24/2019
Last updated
05/17/2022
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