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Individual

GRACE BIALOBOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
108 E 3RD NORTH ST STE A-1, SUMMERVILLE, SC 29483-6810
(843) 790-4093
(843) 501-2297
Mailing address
PO BOX 1394, SUMMERVILLE, SC 29484-1394
(843) 790-4093
(843) 501-2297

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7989
SC

Other

Enumeration date
06/13/2022
Last updated
06/13/2022
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