Individual
RAQUEL FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
186 SEVEN FARMS DR STE F, DANIEL ISLAND, SC 29492-8522
(803) 814-3812
Mailing address
1185 KING ST APT A, CHARLESTON, SC 29403-3267
(301) 704-0777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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