Individual
MIRANDA ELIZABETH LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 THE PKWY STE J, GREER, SC 29650-5205
(864) 244-3474
(864) 244-3475
Mailing address
5306 GLEN FOREST DR, GREENVILLE, SC 29607-6106
(321) 446-1846
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
7731
SC
Other
Enumeration date
02/11/2019
Last updated
08/22/2022
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