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Individual

MISS LEILONI N NIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,SLP

Contact information

Practice address
441 LANCASTER FARM RD, ROEBUCK, SC 29376-3727
(888) 230-2022
(888) 483-7046
Mailing address
441 LANCASTER FARM RD, ROEBUCK, SC 29376-3727
(888) 230-2022
(888) 483-7046

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4377
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679700348
SC
Enumeration date
06/19/2009
Last updated
08/04/2009
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