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Individual

MRS. ALEXIS W HANNA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
SPEECH PATHOLOGIST

Contact information

Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
19 CHURCHILL DOWNS, GREENVILLE, SC 29615-6006
(864) 675-9801
(864) 250-0028

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1020
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SA0110
SC
Enumeration date
12/13/2005
Last updated
07/09/2007
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