Individual
MICHELLE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., B.S., SLT
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Mailing address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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