Individual
MRS. KRISTI MIZELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
9 MAPLE TREE CT # D, GREENVILLE, SC 29615-4070
(864) 627-0009
Mailing address
516 S ORCHARD FARMS AVE, SIMPSONVILLE, SC 29681-4865
(864) 286-8374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4119
SC
Other
Enumeration date
11/11/2007
Last updated
11/11/2007
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