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Individual

MRS. ELEANOR G SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
1551 BEN SAWYER BLVD, UNIT 1-E, MT PLEASANT, SC 29464-5501
(843) 856-4949
(843) 884-9082
Mailing address
1551 BEN SAWYER BLVD, UNIT 1-E, MT PLEASANT, SC 29464-5501
(843) 856-4949
(843) 884-9082

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
312
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3442
SC
Enumeration date
04/13/2006
Last updated
10/21/2013
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