Individual
MS. KATLIN RENEE RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
107 LOVETT DR, GREENVILLE, SC 29607-6510
(803) 490-0960
Mailing address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 490-0960
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8860
SC
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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