Individual
MICHELLE M. CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Mailing address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7295
SC
235Z00000X
Speech-Language Pathologist
Primary
78279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7295
SOUTH CAROLINA DEPARTMENT OF LABOR
SC
Enumeration date
05/12/2021
Last updated
02/04/2022
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