Individual
MRS. MILDRED CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S BOUNDARY AVE, NEW ELLENTON, SC 29809-3206
(803) 652-8170
Mailing address
3108 CHAMOMILE CT, AIKEN, SC 29803-3686
(803) 319-8866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
225455
SC
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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