Individual
TINAYA ALEXIS MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 LEGION DR, DILLON, SC 29536-6211
(843) 245-0618
Mailing address
138 LEGION DR, DILLON, SC 29536-6211
(843) 245-0618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7971
SC
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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