Individual
STACEY LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 CROYDON WAY, GREENVILLE, SC 29609-7158
(803) 315-9299
Mailing address
14 CROYDON WAY, GREENVILLE, SC 29609-7158
(803) 315-9299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3972
SC
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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