Individual
MRS. LESLIE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
521 PARK ST, BISHOPVILLE, SC 29010-1133
(803) 484-5337
Mailing address
521 PARK ST, BISHOPVILLE, SC 29010-1133
(803) 484-5337
(803) 483-0131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3105
SC
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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