Individual
MS. SHEMEKA CUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3831 W DOVER DR, FLORENCE, SC 29501-7712
(843) 409-9240
Mailing address
3831 W DOVER DR, FLORENCE, SC 29501-7712
(843) 409-9240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5190
SC
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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