Individual
MRS. SHIRLEY CHAPPELL MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEA CCC SLP
Contact information
Practice address
301 EAST JACKSON ST, MCLEOD MEDICAL CENTER DILLON, DILLON, SC 29536-1327
(843) 774-1536
(843) 841-3302
Mailing address
5407 HWY 9, GRESHAM, SC 29546
(843) 362-0108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
187
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0193
—
SC
Enumeration date
10/24/2006
Last updated
07/08/2007
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