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Individual

MRS. LARISSA DONNELL SHULER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.P, CCC-SLP

Contact information

Practice address
1368 JESSICAS WAY, ROCK HILL, SC 29730-3690
(803) 322-5601
Mailing address
1368 JESSICAS WAY, ROCK HILL, SC 29730-3690
(803) 322-5601

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4444
SC
235Z00000X
Speech-Language Pathologist
7486
NC

Other

Enumeration date
08/11/2008
Last updated
03/28/2009
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