Individual
MRS. DALZELL GINN MCDILDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.CCC-SLP
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 651-1938
(843) 651-3669
Mailing address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 651-1938
(843) 651-3669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2238
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2238
SPEECH-LANGUAGE PATHOLOGIST LICENSE
SC
Enumeration date
03/31/2009
Last updated
03/31/2009
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