Individual
HEATHER ANN CORICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
(803) 835-7000
Mailing address
111 WELLMORE DR, TEGA CAY, SC 29708-0124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15126
NC
235Z00000X
Speech-Language Pathologist
Primary
7897
SC
Other
Enumeration date
11/17/2021
Last updated
03/02/2022
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