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Individual

AMY KYZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3129 NEELY WINGARD RD, LEESVILLE, SC 29070-8678
(803) 767-9328
Mailing address
3129 NEELY WINGARD RD, LEESVILLE, SC 29070-8678

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3220
SC

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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