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Individual

MRS. KATHRYN STEVENSON MAHAFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSP, CCC-SLP

Contact information

Practice address
504 BROOKS RD, MAULDIN, SC 29662-2747
(864) 255-7766
Mailing address
504 BROOKS RD, MAULDIN, SC 29662-2747
(803) 804-1660

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3403
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SA0542
SC
Enumeration date
10/28/2006
Last updated
03/12/2008
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