Individual
MRS. TIFFANY MEADOR STAPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
190 BUNKER CIR, WILLISTON, SC 29853-6402
(803) 266-3285
Mailing address
190 BUNKER CIR, WILLISTON, SC 29853-6402
(803) 266-3285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4051
SC
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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