Individual
MRS. HANNAH MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7325
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7325
STATE LICENSE
SC
Enumeration date
03/31/2021
Last updated
03/31/2021
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