Individual
PROF. ELAINE NORRIS-MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
8175 SHERBROOKE LN, NORTH CHARLESTON, SC 29418-2045
(843) 767-1313
Mailing address
8175 SHERBROOKE LN, NORTH CHARLESTON, SC 29418-2045
(843) 767-1313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
838
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0579
—
SC
Enumeration date
06/29/2006
Last updated
07/09/2007
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