Individual
MRS. BEVERLY CANNARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 FAIRFIELD TER, HARTSVILLE, SC 29550-3221
(843) 332-7953
Mailing address
205 FAIRFIELD TER, HARTSVILLE, SC 29550-3221
(843) 332-7953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
291
SC
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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