Individual
MRS. LUCINDA K BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 BICKLEY RD, IRMO, SC 29063-9523
(803) 476-4530
Mailing address
173 ANNIE ADKINS RD, IRMO, SC 29063-9601
(803) 781-5832
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
131970
SC
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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