Individual
MRS. KERRI STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP CCC-SLP
Contact information
Practice address
109 VISTA OAKS DR, SUITE A, LEXINGTON, SC 29072-8230
(803) 356-9833
Mailing address
27 WESTSHIRE CT, COLUMBIA, SC 29209-1967
(803) 419-2226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4322
SC
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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