Individual
MRS. NICOLE ROSE HENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
3413 LANDMARK DR, SUMTER, SC 29154-9208
(803) 905-4277
Mailing address
3413 LANDMARK DR, SUMTER, SC 29154-9208
(803) 905-4277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4988
SC
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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