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Individual

MISS DARYL DENISE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
7919 SPRING FLOWER RD, COLUMBIA, SC 29223-5634
(803) 736-4639
Mailing address
7919 SPRING FLOWER RD, COLUMBIA, SC 29223-5634
(803) 736-4639

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5258
SC

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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