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Individual

MELISSA NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3231 OLD FURNACE RD, CHESNEE, SC 29323-9639
(864) 578-0128
Mailing address
3231 OLD FURNACE RD, CHESNEE, SC 29323-9639

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
570787324
SC
Enumeration date
05/10/2013
Last updated
05/10/2013
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