Individual
MS. LISA CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
146 BATTLESHIP RD, CAMDEN, SC 29020-2060
(803) 432-3741
Mailing address
1600 CATCLAW LN, RIDGEWAY, SC 29130-9261
(318) 381-4293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3950
SC
Other
Enumeration date
06/18/2014
Last updated
06/27/2014
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