Individual
MRS. LAUREN ELIZABETH WALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
311 SIMPSON RD, ANDERSON, SC 29621-2157
(864) 231-7397
(864) 231-7396
Mailing address
921 CAMEO CT, ANDERSON, SC 29621-7911
(330) 232-2689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4723
SC
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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