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Individual

ADRIENNE LYNETTE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSP, CCC-SLP

Contact information

Practice address
101 AUTUMN WOODS DR, IRMO, SC 29063-8198
(803) 586-4407
Mailing address
101 AUTUMN WOODS DR, IRMO, SC 29063-8198
(803) 586-4407

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4041
SC

Other

Enumeration date
03/17/2009
Last updated
07/31/2013
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