Individual
MARY B. BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
111 OAKDALE DR, SUMMERVILLE, SC 29483-2819
(843) 303-2881
Mailing address
111 OAKDALE DR, SUMMERVILLE, SC 29483-2819
(843) 303-2881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3781
SC
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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