Individual
JULIE PANSTARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 BROAD ST UNIT 719, CHARLESTON, SC 29401-1875
(440) 596-2551
Mailing address
310 BROAD ST UNIT 719, CHARLESTON, SC 29401-1875
(440) 596-2551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8990
SC
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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