Individual
SALLIE P WADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
802 COUNTRY CLUB RD, ANDREWS, SC 29510-5144
(843) 221-7433
Mailing address
802 COUNTRY CLUB RD, ANDREWS, SC 29510-5144
(843) 221-7433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3620
SC
Other
Enumeration date
01/22/2008
Last updated
01/30/2008
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